Reza Khazaie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54591 Issued in CA

Practice address

1700 Botelho Dr Apt 323
Walnut Creek, CA 94596-8572

Phone

(310) 477-0908

NPI assigned

May 23, 2007

Last updated

Sep 11, 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

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982814406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BOTELHO DR APT 323",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968572",
            "telephone_number": "310-477-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BOTELHO DR APT 323",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968572",
            "telephone_number": "310-477-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZAIE",
        "first_name": "REZA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54591",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "54591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rabia Sana Khan, LPCC
• Raghav Khandelwal, D.M.D.
• Vincent Lee Khang, DDS
• Ramin Khashayar, MD
• Ali Khavari, DPM
• Filomena Baja Khodayari, NP
• Emma Agbodji Khogman
• Monellah Khoram
• Tiyara Khuttan
• Catharine Elizabeth Kibira, PH.D.

• General Practice Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.