Active NPI
Mohd Khalaf DDS Inc
- Orofacial Pain Dentistry
- Roseville, CA
National Provider Identifier
1962266296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- Legal business name
- MOHD KHALAF DDS INC
- Practice address
- 2520 Douglas Blvd Ste 140
Roseville, CA 95661-3993 - Phone
- (916) 860-1661
- NPI assigned
- Feb 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohd Khalaf, DDS
- Title
- Owner
- Phone
- (859) 539-3427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2520 Douglas Blvd Ste 140
Roseville, CA 95661-3993
Mailing address
2520 Douglas Blvd Ste 140
Roseville, CA 95661-3993
Phone (916) 860-1661
Other names 1
- The Head Pain Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2520 Douglas Blvd
Ste 140
Roseville, CA 95661
Phone (859) 539-3427
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1962266296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 DOUGLAS BLVD STE 140",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613993",
"telephone_number": "916-860-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 DOUGLAS BLVD STE 140",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613993",
"telephone_number": "916-860-1661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHD KHALAF DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "KHALAF",
"authorized_official_first_name": "MOHD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-539-3427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X2210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orofacial Pain",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Head Pain Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Head Pain Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.