DR. NOOR AL-KHATIB DDS
NPI 1578286589
Dentist - General Practice in City Of Industry, CA

Active since September 23, 2022PECOS Enrolled
21750 VALLEY BLVD STE C, CITY OF INDUSTRY, CA 91789(909) 595-0807 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2024, Sep 26, 2022, Sep 23, 2022 (3 updates tracked since 2022).

About Dr. Noor Al-khatib Dds NPPES

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

DR. NOOR AL-KHATIB DDS (NPI 1578286589) is an individual general practice provider in City Of Industry, California, licensed in California (108137) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1578286589
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NOOR AL-KHATIBCredential: DDS
Location Address21750 VALLEY BLVD STE CCity Of Industry, CA 91789-0939
Mailing Address21750 Valley Blvd Ste CCity Of Industry, CA 91789-0939
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1578286589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 108137
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.

Also ListedDentistTaxonomy 122300000X · License 108137 (CA)
21750 VALLEY BLVD STE C, City Of Industry, CA 91789

Secondary Practice Location 1

Location 110286 Indiana AveRiverside, CA 92503-5357 · Phone (951) 359-5200

Accepted Insurance

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. Noor Al-khatib 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 91789 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.

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
21750 VALLEY BLVD STE C
CITY OF INDUSTRY, CA 91789
Dentist
21750 VALLEY BLVD STE C
CITY OF INDUSTRY, CA 91789
Dentist (General Practice)
21750 VALLEY BLVD STE C
CITY OF INDUSTRY, CA 91789
Dentist
21750 VALLEY BLVD STE C
CITY OF INDUSTRY, CA 91789

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 Noor Al-khatib's NPI number?

The NPI number for Noor Al-khatib is 1578286589. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Noor Al-khatib located?

Noor Al-khatib practices at 21750 Valley Blvd Ste C, City Of Industry, CA 91789. The listed phone number is (909) 595-0807.

What is Noor Al-khatib's specialty?

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

Is Noor Al-khatib enrolled in Medicare?

Yes. Noor Al-khatib is registered in the Medicare PECOS enrollment system.

What insurance does Noor Al-khatib accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Noor Al-khatib as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Noor Al-khatib was last updated on May 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.