ATOSA MAHJOORY-KHAN – Dentist, NPI 1174744387

ATOSA MAHJOORY-KHAN is a healthcare provider. based in St augustine, Florida. specializing in Dentist. They hold a License No. DN 14201 (FL). The NPI Number for ATOSA MAHJOORY-KHAN is 1174744387

Main info

Female
Sole Proprietor
Name
ATOSA MAHJOORY-KHAN
NPI
1174744387
Phone
(904) 230-5590
Address
163 HAMPTON POINT DR
Enumeration Date
2 May 2007
Last Update Date
5 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ATOSA MAHJOORY-KHAN

  • 163 HAMPTON POINT DR

    SUITE 1 & 2

    ST AUGUSTINE, FL 320923059

    Phone: (904) 230-5590

    Fax: (904) 230-5591

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Ultradent Products Inc ($226).

Total Amount

$226

General + Research + Ownership

Payments

2

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ultradent Products Inc$226
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

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Reviews

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Frequently asked questions

What unique ID ties claims to ATOSA MAHJOORY-KHAN?
NPI 1174744387 is assigned to ATOSA MAHJOORY-KHAN under the national enumeration system.
Is ATOSA MAHJOORY-KHAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ATOSA MAHJOORY-KHAN's specialty in plain language?
Clinically, the directory lists ATOSA MAHJOORY-KHAN with Dentist. Clinical services aligned with this taxonomy classification.
Does ATOSA MAHJOORY-KHAN practice in Florida?
You will see St Augustine, Florida on file for ATOSA MAHJOORY-KHAN alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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