Ruba Naim Khader, BDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1000960 Issued in WI

Practice address

408 W Florida St Ste 105
Milwaukee, WI 53204-1509

Phone

(414) 810-1707

NPI assigned

Mar 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkhaderdds160303@direct.froedtert.com

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.

• Community Oral and Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Milwaukee, WI
  • NPI 1962178970
  NPD Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1992976427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W FLORIDA ST STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041509",
            "telephone_number": "414-810-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W FLORIDA ST STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041509",
            "telephone_number": "414-810-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADER",
        "first_name": "RUBA",
        "middle_name": "NAIM",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "9594",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9002",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "9002",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "1000960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992976427",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Key Transportation 2 LLC
• Talissa A Key
• Keyalluring Co. LLC (KeyAlluring Prenatal Co.)
• Keystone Bayview LLC (Bayview Dental Care)
• KGS Transportation LLC
• Khadija's Kozy Korner
• Sundeep Singh Khahra
• Ibrahim A Khaja, MD
• Adam M Khalid, AA
• Arsala Khalid, BDS

• Oral and Maxillofacial Surgery (Dentist) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.