DR. MOHAMMAD KHALIFEH DDS NPI 1417045931

NPI Information

NPI: 1417045931
Provider Name: DR. MOHAMMAD KHALIFEH, DDS
Classification: Dentist - 1223X2210X
Specialization: Orofacial Pain
Entity Type: Individual
PECOS Registration: Yes
Address: 5757 WILSHIRE BLVD.,
SUITE # 5
LOS ANGELES, CA
ZIP 90036
Phone: (323) 933-3855

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NPI Details

DR. Mohammad Khalifeh, DDS is an orofacial pain dentist in Los Angeles, CA. The provider is 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. DR. Mohammad Khalifeh, DDS NPI is 1417045931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5757 WILSHIRE BLVD.,
SUITE # 5
LOS ANGELES, CA
ZIP 90036
Phone: (323) 933-3855

The NPI 1417045931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/10/2006 and was last updated on 6/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	40631	CALIFORNIA	No
2	1223X2210X	Dentist	Orofacial Pain	40631	CALIFORNIA	Yes
3	122300000X	Dentist		40631	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47-0910768	OTHER		TAXPAYER IDENTIFYING NUMB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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