Sarah Khani, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60597 Issued in CA

Practice address

12455 Victoria Gardens LN
Suite 190
Rancho Cucamonga, CA 91739-7530

Phone

(909) 463-7100

NPI assigned

Jun 30, 2008

Last updated

Sep 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1952563934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 VICTORIA GARDENS LN",
            "address_2": "SUITE 190",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917397530",
            "telephone_number": "909-463-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 VICTORIA GARDENS LN",
            "address_2": "SUITE 190",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917397530",
            "telephone_number": "909-463-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANI",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "60597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran Khan, DPT
• Ismail Sohail Khan, DO
• Muryam Afzal Khan
• Sara Khan
• Ziad Umar Khan, M.D.
• Madiha Khawaja
• Kheang C. Ly, Chiropractic Corporation (Red Hill Chiropractic)
• Suniel S. Khemlani, MD
• Amanda Jo Khouri, MD
• Melissa Michelle Khoury, DDS

• Pediatric Dentistry in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.