Organization Active NPI

Rehana Khan DDS, Ms a Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Angeles, CA
National Provider Identifier
1932946449
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
REHANA KHAN DDS, MS A DENTAL CORP
Practice address
1127 Wilshire Blvd Ste 915
Los Angeles, CA 90017-3910
Phone
(213) 481-0820
NPI assigned
Jul 11, 2024
Organization subpart
Yes
Parent organization
REHANA KHAN DDS, MS A DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Rehana Khan, DDS, MS
Title
Owner
Phone
(310) 994-0210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 915
Los Angeles, CA 90017-3910

Mailing address

12934 McCune Ave
Los Angeles, CA 90066-3528

Other names 1

  • Los Angeles Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Rehana Khan DDS Ms a Dental Corp

Locations

1127 Wilshire Blvd
Ste 915
Los Angeles, CA 90017
Phone (213) 481-0820

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1932946449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12934 MCCUNE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173910",
            "telephone_number": "213-481-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHANA KHAN DDS, MS A DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHANA KHAN DDS, MS A DENTAL CORP",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "REHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-994-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.