Active NPI
Osama Ismail, D.D.S.M.S.
- Dentist
- Glendale Heights, IL
National Provider Identifier
1043644016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- IL019-021834
- Practice address
- 2184B Bloomingdale Rd
Glendale Heights, IL 60139-1614 - Phone
- (630) 529-5559
- Fax
- (630) 529-5742
- NPI assigned
- Aug 27, 2013
- Last updated
- Aug 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL019-021834 | IL | Primary |
Addresses
Primary practice location
2184B Bloomingdale Rd
Glendale Heights, IL 60139-1614
Mailing address
2184B Bloomingdale Rd
Glendale Heights, IL 60139-1614
Phone (630) 529-5559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IL019-021834 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osama Ismail D.D.S. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1043644016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2184B BLOOMINGDALE RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391614",
"telephone_number": "630-529-5559",
"fax_number": "630-529-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2184B BLOOMINGDALE RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391614",
"telephone_number": "630-529-5559",
"fax_number": "630-529-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "OSAMA",
"name_prefix": "Dr.",
"credential": "D.D.S.M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "IL019-021834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale Heights, IL
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- Rebecca Anne Ilic, RD LDN
- Insight Chicago, Inc. (Insight Muhammad Shahzaz MD)
- Internal Medicine Associates of Dupage County (Dorothy Kay Hines)
- Jas Brar M.D., S.C.
- Joliet Oncology Hematology Associates LTD
- William A Jones, PHARMD
- Daxa J Joshi
- JSK Family Healthcare, P.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.