Active NPI
Hether Khosa, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 30.025966
- Practice address
- 222 Piedmont Ave
Cincinnati, OH 45219-4231 - Phone
- (513) 475-8783
- Fax
- (513) 475-7698
- NPI assigned
- Nov 5, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 30.025966 | OH | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 30.025966 | OH | Primary |
Addresses
Primary practice location
222 Piedmont Ave
Cincinnati, OH 45219-4231
Mailing address
222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-8783
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300055609 | Medicaid | IN | |
| 0368866 | Medicaid | OH | |
| 7100634760 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Piedmont Ave
Suite 7300
Cincinnati, OH 45219-4224
Phone (513) 475-8783
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025966 | OH | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical-Dental Associates, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
200 Albert Sabin Way
Cincinnati, OH 45267
Phone (513) 475-7500
3805 Edwards Rd
Cincinnati, OH 45209
Phone (513) 321-0833
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
222 Piedmont Ave
Ste 7300
Cincinnati, OH 45219
Phone (513) 475-8783
7690 Discovery Dr
West Chester, OH 45069
Phone (513) 475-7425
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Cincinnati, OH
- NPI 1649241787
Oral and Maxillofacial Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1972857506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 PIEDMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452194231",
"telephone_number": "513-475-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PIEDMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452194231",
"telephone_number": "513-475-8783",
"fax_number": "513-475-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSA",
"first_name": "HETHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OH",
"license": "30.025966",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "OH",
"license": "30.025966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300055609",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0368866",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100634760",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.