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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Mark I Khaimov, DDS

Periodontics in Nutley, NJ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477614162

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark I Khaimov
Credential DDS
Sex Male
Practice address Nutley, NJ, 07110
Fax (973) 798-2640
Enumeration date Dec 13, 2006
Last updated in NPPES Jul 18, 2016

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223P0300X Periodontics Dental Providers · License 2249201 (NJ) Primary
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mark Khaimov?
The National Provider Identifier (NPI) for Mark Khaimov is 1477614162, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mark Khaimov practice?
The practice location on file with NPPES is in Nutley, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-18.