Samreen Ahmed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030919 Issued in IL

Practice address

341 E Geneva Rd
Carol Stream, IL 60188-2438

Phone

(630) 588-0003

NPI assigned

Mar 16, 2018

Last updated

Mar 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simply Dental

  • General Practice Dentistry
  • Carol Stream, IL
  • NPI 1922339266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1013410901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 RIDGEFIELD CIR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E GENEVA RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882438",
            "telephone_number": "630-588-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SAMREEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030919",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Michelle Adams, LCSW
• Anthony Adeniran, MD
• Advantage MRI-Carol Stream, LLC
• Adventist Health Partners, Inc (Integro Family Health Center)
• Affinity Pharmacy Care LLC
• Al-Ameer Testing Center Inc.
• Isabel Albers, MS, RDN
• Charles Edgar Alcorn III, PH.D.
• Dahlia Alfaro, MA, LPC, NCC
• Donald Algozine, OTR/L

• General Practice Dentistry in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.