Organization Active NPI

Dental Concepts LLC

  • General Practice Dentistry
  • Downers Grove, IL
National Provider Identifier
1013797828
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Dr. Ahmed M HegazyNPI 1487211694
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.