Thomas Mark Khemmoro, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601829 Issued in MI

Practice address

44968 Ford Rd Ste R
Canton, MI 48187-2900

Phone

(734) 386-7000

NPI assigned

Jun 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Royal Smiles PLLC

  • Dental Clinic/Center
  • Royal Oak, MI
  • NPI 1487441895
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1992480610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 MYSTIC VALLEY DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021437",
            "telephone_number": "248-444-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44968 FORD RD STE R",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872900",
            "telephone_number": "734-386-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMMORO",
        "first_name": "THOMAS",
        "middle_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirna A Khanafer
• Jasmin Kaur Khangura, PHARMD
• Henna A Khare, DDS
• Vidita Khatri
• Christine Aref Khattar, PT
• Essam Khraizat, MD
• Kidney Disease Specialist PLLC
• Kidology
• Kidology Institute
• Allison Carole Kiefiuk, PHARMD

• General Practice Dentistry in Canton, MI
• Providers in Canton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.