Mamoon Salamah Mohamad, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.035060 Issued in IL

Practice address

3138 N Narragansett Ave
Chicago, IL 60634-4919

Phone

(773) 745-6410

NPI assigned

Apr 30, 2024

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Global Dental Center Inc

  • Point of Service
  • Rockford, IL
  • NPI 1730458878
  NPD (past)
• International Dental Center

  • Point of Service
  • Rockford, IL
  • NPI 1083905467
  NPD (past)

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1053167999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N OLCOTT AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 N NARRAGANSETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344919",
            "telephone_number": "773-745-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 N Olcott Ave",
            "address_purpose": "LOCATION",
            "city": "Norridge",
            "state": "IL",
            "postal_code": "607061138",
            "country_code": "US",
            "telephone_number": "312-998-9463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3502 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611081914",
            "country_code": "US",
            "telephone_number": "815-227-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMAD",
        "first_name": "MAMOON",
        "middle_name": "SALAMAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morteza Mohajer, M.D.
• Iman Mohajir
• Munazza Noor Mohajir
• Gassan Mohama, M.D.
• Faridah Mohamad Ali
• Abdelnasir Mustafa Elawad Mohamed
• Ali Ahmed Mohamed
• Dawlat Mohamed, MD
• Hagir Mohamed Elmustafa Mohamed, MD
• Maher Amin Mohamed, PT

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jun 26, 2024; 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.