Individual provider Active NPI

Khurrum S Sheikh, D.M.D.

  • Dentist
  • Newtown, PA
National Provider Identifier
1952582454
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040706 Issued in PA
Practice address
27 Blacksmith Rd Ste 101
Newtown, PA 18940-1870
Phone
(215) 968-4400
NPI assigned
Nov 26, 2007
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02442600 NJ
Dentist 122300000X 6737 NE
Dentist 122300000X DS040706 PA Primary

Addresses

Primary practice location

27 Blacksmith Rd Ste 101
Newtown, PA 18940-1870

Mailing address

2929 Klockner Rd
Hamilton, NJ 08690-2809
Phone (402) 332-8454

Other practice location 1

551 New Rd
Somers Point, NJ 08244-2020
Phone (609) 318-6386

Other practice location 2

4705 Harding Hwy
Mays Landing, NJ 08330-2852
Phone (609) 625-3499

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

LicenseStateTypeSpecialty
6737NEMDDentist
22DI02442600NJMDDentist
DS040706PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Granados Dental Associates, PC Dentist Past Accepting new patients
Advanced Cosmetic and General Dentistry, LLC PastSince Mar 5, 2023 Accepting new patients
Henrickson, Sheikh Dental Associates, LLC Dentist Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1952582454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086902809",
            "telephone_number": "402-332-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BLACKSMITH RD STE 101",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401870",
            "telephone_number": "215-968-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 New Rd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082442020",
            "country_code": "US",
            "telephone_number": "609-318-6386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 Harding Hwy",
            "address_purpose": "LOCATION",
            "city": "Mays Landing",
            "state": "NJ",
            "postal_code": "083302852",
            "country_code": "US",
            "telephone_number": "609-625-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "KHURRUM",
        "middle_name": "S",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02442600",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6737",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.