DR. MOHAMMAD KHALIFEH DDS
NPI 1417045931
Dentist - Orofacial Pain in Los Angeles, CA

Active since October 10, 2006PECOS Enrolled
5757 WILSHIRE BLVD.,, SUITE # 5, LOS ANGELES, CA 90036(323) 933-3855 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mohammad Khalifeh Dds NPPES

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

DR. MOHAMMAD KHALIFEH DDS (NPI 1417045931) is an individual orofacial pain provider in Los Angeles, California, licensed in California (40631) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417045931
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameDR. MOHAMMAD KHALIFEHCredential: DDS
Location Address5757 WILSHIRE BLVD.,, SUITE # 5Los Angeles, CA 90036
Mailing Address5757 Wilshire Blvd.,, Suite # 5Los Angeles, CA 90036 · (323) 933-3855
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 29, 2024
NPPES CertifiedJune 29, 2024
NPI 1417045931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License Licensed in CA · 40631
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentistTaxonomy 122300000X · License 40631 (CA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 40631 (CA)
5757 WILSHIRE BLVD.,, Los Angeles, CA 90036

Other Identifiers 1

Other47-0910768Taxpayer Identifying Numb

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mohammad Khalifeh Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mohammad Khalifeh's NPI number?

The NPI number for Mohammad Khalifeh is 1417045931. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Mohammad Khalifeh located?

Mohammad Khalifeh practices at 5757 Wilshire Blvd., Suite # 5, Los Angeles, CA 90036. The listed phone number is (323) 933-3855.

What is Mohammad Khalifeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Mohammad Khalifeh enrolled in Medicare?

Yes. Mohammad Khalifeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Khalifeh was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.