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Omar Rahim Khan

Dentist - General Practice β€’ Cibolo, TX

Active NPI 1164268413 Individual Practitioner Male Practitioner
Practice location in NPPES

113 Rodeo Way Ste 100
Cibolo, TX 781083979

Call 2104952000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

113 Rodeo Way Ste 100

Cibolo, TX 781083979

Telephone 2104952000
Organization at the Same NPPES Address or Phone
Cibolo 7to7 Pllc Facility NPI 1427723451

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cibolo and Texas

9 active clinicians are listed under Dentist - General Practice with a practice address in Cibolo, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 42646

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Mary Fuentes , DDS

Dentist - General Practice

NPI 1417337684

Doctor of Dental Surgery

Dr. Cesar Gonzalez , DDS

Dentist - General Practice

NPI 1306452354

Doctor of Dental Surgery

NPI 1871163873

Doctor of Dental Surgery

Dr. Virginia Lopez , DDS

Dentist - General Practice

NPI 1285127100

Doctor of Dental Surgery

Dr. Nicolas Richards , DDS

Dentist - General Practice

NPI 1598373839

Doctor of Dental Surgery

Dr. Ksenia Royal-Priest , DMD, MS

Dentist - General Practice

NPI 1659895316

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 25, 2026

Registered at 113 RODEO WAY STE 100, CIBOLO, TX 781083979 (Tel: 2104952000)

πŸ“
Updated Business Mailing Address July 25, 2026

Registered at 113 RODEO WAY STE 100, CIBOLO, TX 781083979

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2026

Dentist (license number reported to NPPES: TX 42646)

πŸ“
Updated Business Mailing Address March 28, 2026

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

βœ…
NPI Profile Active July 06, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 06, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

πŸ“
Business Mailing Address (Initial Record) July 06, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

πŸ‘€
Provider Name / Credentials (Initial Record) July 06, 2024

Recorded as OMAR KHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 06, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164268413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2024
Last Update: July 25, 2026
Sole Proprietor: No

Other Dentist - General Practices in Cibolo

Mailing Address

113 Rodeo Way Ste 100

Cibolo, TX 781083979

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.