Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114403821 Individual Practitioner Male Practitioner

Shayan Ali Khan

Dentist • El Campo, TX

Professional Overview & Biography Verified Profile Summary

Shayan Khan is a registered healthcare professional specializing in Dentist in El Campo, TX. Practice services are available at 105 N WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 N Washington St

El Campo, TX 774374430

Telephone 9795432737
Associated Practice Facility / Clinic
🏢 Smile Studios Pllc Facility NPI 1073340832

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in El Campo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
8 Specialists

Practicing in El Campo, TX (6851 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

CMS Verified: 2024-11-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401416434

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

2230 Gallows Rd Ste 320

Dunn Loring, VA 220271101

Phone: 7035738664

13873 Park Center Rd Ste 137

Herndon, VA 201713248

Phone: 7034780115

3050 Chain Bridge Rd Ste 201

Fairfax, VA 22030

Phone: 7032816201

929 W Wise Rd

Schaumburg, IL 601933821

Phone: 8478950485

46400 Benedict Dr Ste 109

Sterling, VA 201646605

Phone: 7034443412

105 N Washington St

El Campo, TX 774374430

Phone: 9795432737

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Brian Swenson , DDS

Dentist - General Practice

NPI 1194889931

Doctor of Dental Surgery

Dr. Louis Lee , DDS

Dentist - General Practice

NPI 1386488229

Doctor of Dental Surgery

Dr. John Richards , DDS FAGD

Dentist - General Practice

NPI 1689723983

DDSFAGD

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location November 15, 2024

Registered at 105 N WASHINGTON ST, EL CAMPO, TX 774374430 (Tel: 9795432737)

📍
Updated Business Mailing Address November 15, 2024

Registered at 105 N WASHINGTON ST, EL CAMPO, TX 774374430

📍
Updated Practice Location March 08, 2021

Registered at 929 W WISE RD, SCHAUMBURG, IL 601933821 (Tel: 8478950485)

📍
Updated Practice Location February 03, 2020

Registered at 46400 BENEDICT DR STE 109, STERLING, VA 201646605 (Tel: 7034443412)

📍
Updated Business Mailing Address September 29, 2019

Registered at 2730 GALLOWS RD APT 608, VIENNA, VA 221807482

📍
Updated Practice Location July 07, 2019

Registered at 3050 CHAIN BRIDGE RD STE 201, FAIRFAX, VA 22030 (Tel: 7032816201)

📍
Updated Business Mailing Address July 07, 2019

Registered at 2425 BLUERIDGE AVE APT 159, SILVER SPRING, MD 209024559

📍
Updated Practice Location April 10, 2019

Registered at 10482 SUDLEY MANOR DR, MANASSAS, VA 201092966 (Tel: 7033699100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2019

Dentist (License #0401416434 in VA)

NPI Profile Active July 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2018

Registered at 1111 N CHARLES ST, BALTIMORE, MD 212015505 (Tel: 4108372050)

📍
Updated Business Mailing Address July 16, 2018

Registered at 1111 N CHARLES ST, BALTIMORE, MD 212015505

👤
Provider Name / Credentials Updated July 16, 2018

Recorded as SHAYAN KHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 16, 2018

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: 1114403821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2018
Last Update: November 15, 2024
Sole Proprietor: Yes

Mailing Address

105 N Washington St

El Campo, TX 774374430

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.