DR. TARA KHAMO D.D.S
NPI 1639521404
Dentist in Cleveland, OH

Q: What is Tara Khamo's NPI number?

The NPI number for Tara Khamo is 1639521404. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Tara Khamo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Khamo was last updated on June 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 06, 2016

4071 LEE RD STE 260, CLEVELAND, OH 44128(216) 861-6200(216) 363-7490 Get Directions Write a Review

NPPES record last updated: June 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2019, Feb 6, 2017 (2 updates tracked since 2017).

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About Dr. Tara Khamo D.d.s NPPES

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

DR. TARA KHAMO D.D.S (NPI 1639521404) is an individual dentist in Cleveland, Ohio, licensed in California (100221) and active in the NPI registry since July 2016. She maintains a secondary practice location in Lemon Grove.

NPPES Registry Identity

NPI1639521404

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. TARA KHAMOCredential: D.D.S

Location Address4071 LEE RD STE 260Cleveland, OH 44128-2173

Mailing Address4071 Lee Rd Ste 260Cleveland, OH 44128-2173 · (216) 861-6200 · Fax (216) 363-7490

Phone(216) 861-6200

Fax(216) 363-7490

Sole ProprietorNo

Enumeration DateJuly 6, 2016

Last NPPES UpdateJune 15, 20192 updates tracked since enumeration

✔ NPI 1639521404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 100221

Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License RES.004134 (OH)

4071 LEE RD STE 260, Cleveland, OH 44128

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Secondary Practice Location 1

Location 17967 BroadwayLemon Grove, CA 91945-1809 · Phone (619) 280-4213

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental, TRUASSURE INSURANCE COMPANY.Insurance ›

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.

JAVIER ALEJANDRO RODRIGUEZ DEL REY

Dentist (General Practice)