Organization Active NPI

Dr. Adnan Ahmed DDS, Inc.

  • Dentist
  • Grand Rapids, OH
National Provider Identifier
1043486293
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21695 Issued in OH
Legal business name
DR. ADNAN AHMED DDS, INC.
Practice address
24163 Front St
Grand Rapids, OH 43522-9408
Phone
(419) 832-9101
Fax
(419) 832-1914
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Adnan AhmedNPI 1891866752
Title
Dentist
Phone
(419) 832-9101

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 21695 OH Primary

Addresses

Primary practice location

24163 Front St
Grand Rapids, OH 43522-9408

Mailing address

PO Box 369
Grand Rapids, OH 43522-0369
Phone (419) 832-9101

Other identifiers 1

IdentifierTypeStateIssuer
2406051MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Dr Adnan Ahmed DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1043486293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435220369",
            "telephone_number": "419-832-9101",
            "fax_number": "419-832-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24163 FRONT ST",
            "city": "GRAND RAPIDS",
            "state": "OH",
            "postal_code": "435229408",
            "telephone_number": "419-832-9101",
            "fax_number": "419-832-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ADNAN AHMED DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "419-832-9101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.