Muhammad Khondoker, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13419 Issued in NC

Practice address

19911 Zion Ave Ste D4
Cornelius, NC 28031-8877

Phone

(704) 887-2744

Fax

(929) 600-9712

NPI assigned

Jun 13, 2022

Last updated

Feb 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Khondoker and Associates PLLC

  dba Lakehouse Dental

  • Dental Clinic/Center
  • Cornelius, NC
  • NPI 1033980495

  Dentist

  NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1962132977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19911 ZION AVE STE D4",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318877",
            "telephone_number": "704-887-2744",
            "fax_number": "929-600-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19911 ZION AVE STE D4",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318877",
            "telephone_number": "704-887-2744",
            "fax_number": "929-600-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHONDOKER",
        "first_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10332",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Kerls, DPT
• Elaine Kerns, LCSW
• Amy E Kester, FNP-BC
• Keystone Chiropractic
• Khondoker and Associates PLLC (Lakehouse Dental)
• Kicos Chiropractic Inc
• Kicos Chiropractic, Inc.
• John Joseph Kicos, D.C.
• Julianne Kiehl
• Kimberly Owen

• Dentist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.