KHADIJA KHAN (NPI# 1538547260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538547260 |
Entity Type | Individual |
Full Name | KHADIJA KHAN |
Credential | D.M.D. |
Practice Address |
38 Sw Cutoff Ste D Northborough MA 01532-2159 |
Practice Telephone | (508) 709-0385 |
Mailing Telephone | (508) 709-0385 |
Enumeration Date | 2015-05-14 |
Last Update Date | 2017-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN1857528 | MA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235767633 | Khadija Khan | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-31 |
1659912129 | Khadija Khan | Social Worker | 115 N County Farm Rd, Wheaton, IL 60187-3977 | 2019-10-04 |
1740387547 | Khadija T Khan | Psychiatry & Neurology | 2803 Butterfield Rd Ste 200, Oak Brook, IL 60523-1165 | 2006-09-20 |
1144202573 | Khadija Khan | Anesthesiology | 75 Francis St, Brigham and Womens Hospital Dept of Anesthesiology, Boston, MA 02115-6110 | 2005-11-21 |
Street Address |
38 SW CUTOFF STE D |
City | NORTHBOROUGH |
State | MA |
Zip Code | 01532-2159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073152153 | Authentic Wellness Therapy LLC | Clinic/Center | Authentic Wellness Therapy LLC, 300 West Main Street, Building B, Northborough, MA 01532 | 2020-01-06 |
1396225819 | Shannon Furgal | Behavior Technician | 359 Whitney St, Northborough, MA 01532 | 2018-08-14 |
1487145926 | Jonathan Ye | Dentist | 448 Howard St, Northborough, MA 01532 | 2018-05-21 |
1205219441 | Nuch of Massachusetts, LLC | Clinic/Center | 10002 Shops Way, Suite A, Northborough, MA 01532 | 2015-07-07 |
1164775243 | Christine B Chapman | Nurse Practitioner | 10002 Shops Way Ste A, Northborough, MA 01532 | 2012-10-26 |
1013269927 | Lindsay Brady | Social Worker | 295 Crawford St., Northborough, MA 01532 | 2012-10-03 |
1366763047 | Christine Rodriguez | Counselor | 20 Main Street, Northborough, MA 01532 | 2010-06-17 |
1417189432 | Deborah Anne Carter | Social Worker | 130 Main St., Bldg. 2 Suite F, Northborough, MA 01532 | 2009-08-10 |
1780802561 | Department of Mental Health | Case Management | 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 | 2007-04-24 |
1285787747 | Karen Leigh Lilley | Counselor | 21 Southwest Cutoff, Northborough, MA 01532 | 2007-01-19 |
Find all providers in zip 01532 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396939583 | Children's Dentistry of Northborough | Dentist | 38 Sw Cutoff, Suite D, Northborough, MA 01532-2159 | 2007-08-30 |
1568538304 | David Wald | Dentist | 29 South Street, Northborough, MA 01532 | 2006-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
1215574694 | Nistar Pediatric Dentistry Pllc | Dentist | 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 | 2019-12-05 |
1952968729 | Hampshire Meadow Family & Pediatric Dentistry | Dentist | 207 Russell St Apt 18, Hadley, MA 01035-5907 | 2019-05-28 |
1801352661 | Lavoie Pediatric Dentistry | Dentist | 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 | 2019-02-18 |
1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
1891286316 | Azadeh Sajjadi | Dentist | 29 Angela Ln, Watertown, MA 02472-1734 | 2018-05-21 |
1841789468 | Tiffany Juliana Lewis | Dentist | 413 Broadway Ste B, Methuen, MA 01844-2062 | 2018-05-09 |
Find all providers with the same taxonomy |
City | NORTHBOROUGH |
Zip Code | 01532 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.