Active NPI
Dental Concepts LLC
- General Practice Dentistry
- Downers Grove, IL
National Provider Identifier
1013797828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL CONCEPTS LLC
- Practice address
- 640 Ogden Ave Ste 5
Downers Grove, IL 60515-2940 - Phone
- (630) 541-8915
- NPI assigned
- Sep 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahmed M Hegazy
- Title
- Owner
- Phone
- (646) 270-0496
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
640 Ogden Ave Ste 5
Downers Grove, IL 60515-2940
Mailing address
640 Ogden Ave Ste 5
Downers Grove, IL 60515-2940
Other names 1
- Downers Grove Dental Spa
National Provider Directory
National Provider DirectoryLocations
640 Ogden Ave
Ste 5
Downers Grove, IL 60515
Phone (630) 541-8915
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1487211694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1013797828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 OGDEN AVE STE 5",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 OGDEN AVE STE 5",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152940",
"telephone_number": "630-541-8915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL CONCEPTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "HEGAZY",
"authorized_official_first_name": "AHMED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-270-0496",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Downers Grove Dental Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.