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Active NPI 1205949005 Individual Practitioner Female Practitioner

Dr. Shataj Aslam Khan , DDS

Dentist - General Practice • El Monte, CA

Professional Overview & Biography Verified Profile Summary

Dr. Shataj Khan, DDS is a registered healthcare professional specializing in Dentist - General Practice in El Monte, CA. Practice services are available at 4900 N PECK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4900 N Peck Rd

El Monte, CA 917321422

Telephone 6265795158
Fax 6265795311
Associated Practice Facility / Clinic
🏢 Khan Dental Corp Facility NPI 1851342612

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in El Monte, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
49 Specialists

Practicing in El Monte, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 37914

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
G91149-01 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1689627481

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4900 N PECK RD, EL MONTE, CA 917321422 (Tel: 6265795158)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1553 S WESTRIDGE RD, WEST COVINA, CA 917914314 (Tel: 6269187055)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHATAJ KHAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #37914 in CA)

🟢
Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205949005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1553 S Westridge Rd

West Covina, CA 917914314

Phone: 6269187055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.