Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KHORI-ANN WILLIS
NPI 1396420618
Dentist - General Practice in New York, NY

Q: What is Khori-ann Willis's NPI number?

The NPI number for Khori-ann Willis is 1396420618. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Q: What is Khori-ann Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Khori-ann Willis was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2023

506 LENOX AVE, NEW YORK, NY 10037(954) 850-8254 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Khori-ann Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHORI-ANN WILLIS (NPI 1396420618) is an individual general practice provider in New York, New York, licensed in South Carolina (11477) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1396420618

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKHORI-ANN WILLIS

Location Address506 LENOX AVENew York, NY 10037-1802

Mailing Address1450 W O Ezell Blvd Ste 800Spartanburg, SC 29301-1503 · (954) 850-8254

Phone(954) 850-8254

Sole ProprietorNo

Enumeration DateJune 15, 2023

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1396420618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 11477

Definition

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.

506 LENOX AVE, New York, NY 10037

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CYRIL VARGHESE M.D.

Radiology (Diagnostic Radiology)

506 LENOX AVE
NEW YORK, NY 10037

New York County (844) 692-4692

DR. EMIN ELEZI M.D.

Emergency Medicine

506 LENOX AVE, SUITE 2-105
NEW YORK, NY 10037

New York County (212) 939-2251

MR. MICHAEL NUNOO R.N.

Registered Nurse

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-1000

MR. ANTONY JOSEPH PATHINANGIL M.D.

Student in an Organized Health Care Education/Training Program

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-1406

CHRISTINA ENG M.D.

Emergency Medicine

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-1840

PHYSICIAN AFFILIATE GROUP OF NEW YORK PC

Dietitian, Registered

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-2467

YAZAN ALJABAWI MBBS

Student in an Organized Health Care Education/Training Program

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-2291

WINNIE MUKIRI GIKUNDA

Student in an Organized Health Care Education/Training Program

506 LENOX AVE
NEW YORK, NY 10037

New York County (212) 939-8615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khori-ann Willis's NPI number?

The NPI number for Khori-ann Willis is 1396420618. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Khori-ann Willis located?

Khori-ann Willis practices at 506 Lenox Ave, New York, NY 10037. The listed phone number is (954) 850-8254.

What is Khori-ann Willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Khori-ann Willis was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.