Active NPI
Tala Khayyer
- General Practice Dentistry
- Gettysburg, PA
National Provider Identifier
1942847520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042362
- Practice address
- 2285 Fairfield Rd
Gettysburg, PA 17325-7214 - Phone
- (717) 334-2223
- NPI assigned
- Dec 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042362 | PA | Primary |
Addresses
Primary practice location
2285 Fairfield Rd
Gettysburg, PA 17325-7214
Mailing address
2285 Fairfield Rd
Gettysburg, PA 17325-7214
Phone (703) 231-5173
Other practice location 1
2026 Hunter Mill Rd
Vienna, VA 22181-2805
Phone (703) 231-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042362 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above & Beyond Family Dentistry, LLC | Current | Accepting new patients |
Locations
2285 Fairfield Rd
Gettysburg, PA 17325
Phone (717) 334-2223
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Gettysburg, PA
- NPI 1447899943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1942847520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 FAIRFIELD RD",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257214",
"telephone_number": "703-231-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 FAIRFIELD RD",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257214",
"telephone_number": "717-334-2223"
}
],
"practiceLocations": [
{
"address_1": "2026 Hunter Mill Rd",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "VA",
"postal_code": "221812805",
"country_code": "US",
"telephone_number": "703-231-5173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAYYER",
"first_name": "TALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.