Milad Nourahmadi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028115 Issued in IL

Practice address

210 N Bolingbrook Dr
Bolingbrook, IL 60440-2386

Phone

(630) 972-4010

NPI assigned

Aug 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Shining Smiles LLC

  • General Practice Dentistry
  • Bolingbrook, IL
  • NPI 1972816650
  NPD Authorized official
• Shining Smiles Wheaton Inc.

  • Dental Clinic/Center
  • Wheaton, IL
  • NPI 1184198038
  NPD Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289692800000",
    "number": "1023240918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N RIVER RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402386",
            "telephone_number": "630-972-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURAHMADI",
        "first_name": "MILAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2010-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Cochrane, M.Ed.,LCPC
• Nicole Lynn Nikchevich, M.S., BCBA
• Tyler Nohren, ATC
• Stacie L Norrman, MA CCC SLP
• Amy L North
• Kaitlin Elese Novak
• Emily Elizabeth Noxon
• Magdaleno S Nucum, DDS
• Numar Solutions, LLC
• Kathryn Nunes

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, 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 Nov 14, 2010; 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.