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DR. MOHAMMED KHATTARI D.D.S.
NPI 1730556358
Dentist in Winter Park, FL

Active since August 31, 2015PECOS Enrolled
1480 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789(407) 220-1400(407) 476-5577 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mohammed Khattari D.d.s. NPPES

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

DR. MOHAMMED KHATTARI D.D.S. (NPI 1730556358) is an individual dentist in Winter Park, Florida, licensed in Florida (DN 21580) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730556358
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MOHAMMED KHATTARICredential: D.D.S.
Location Address1480 W FAIRBANKS AVE STE 100Winter Park, FL 32789-4806
Mailing Address1480 W Fairbanks Ave Ste 100Winter Park, FL 32789-4806 · (407) 220-1400 · Fax (407) 476-5577
Phone(407) 220-1400
Fax(407) 476-5577
Sole ProprietorYes
Enumeration DateAugust 31, 2015
Last NPPES UpdateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
✔ NPI 1730556358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN 21580
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.
1480 W FAIRBANKS AVE STE 100, Winter Park, FL 32789
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.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. Mohammed Khattari D.d.s. 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 32789 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Mohammed Khattari's NPI number?

The NPI number for Mohammed Khattari is 1730556358. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Mohammed Khattari located?

Mohammed Khattari practices at 1480 W Fairbanks Ave Ste 100, Winter Park, FL 32789. The listed phone number is (407) 220-1400.

What is Mohammed Khattari's specialty?

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

Is Mohammed Khattari enrolled in Medicare?

Yes. Mohammed Khattari is registered in the Medicare PECOS enrollment system.

What insurance does Mohammed Khattari accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Mohammed Khattari 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 Mohammed Khattari was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.