Qayyum Abbas Khambaty, BDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 10323 Issued in FL

Practice address

6333 State Road 54
New Port Richey, FL 34653-6037

Phone

(727) 841-7711

Fax

(727) 844-5822

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Center

  • Dentist
  • New Port Richey, FL
  • NPI 1568898856
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922104686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536037",
            "telephone_number": "727-841-7711",
            "fax_number": "727-844-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536037",
            "telephone_number": "727-841-7711",
            "fax_number": "727-844-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMBATY",
        "first_name": "QAYYUM",
        "middle_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kew Wellness Center 1, LLC
• Kew Wellness Center 2, LLC
• Kew Wellness Center, LLC
• Khaja Zaki MD LLC
• Sherief Nabil Khalil, MD
• Haider Khan, M.D.
• Imran A Khan, MD
• Nazeer H Khan, M.D.
• Samirah Khan
• Kavita D Khanijow, MD

• General Practice Dentistry in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.