Active NPI
Syed Bilal Yusaf, D.D.S.
- Dentist
- Frankfort, IL
National Provider Identifier
1053476994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 043671706
- Practice address
- 346 N Lagrange Rd
Frankfort, IL 60423-2008 - Phone
- (815) 464-1200
- Fax
- (815) 464-1291
- NPI assigned
- Dec 22, 2006
- Last updated
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 043671706 | IL | Primary |
Addresses
Primary practice location
346 N Lagrange Rd
Frankfort, IL 60423-2008
Mailing address
346 N Lagrange Rd
Frankfort, IL 60423-2008
Phone (815) 464-1200
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 |
|---|---|---|---|
| 043671706 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Dental Studio | Dentist | 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.
-
- Dentist
- Frankfort, IL
- NPI 1629215199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1053476994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 N LAGRANGE RD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232008",
"telephone_number": "815-464-1200",
"fax_number": "815-464-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 N LAGRANGE RD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232008",
"telephone_number": "815-464-1200",
"fax_number": "815-464-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSAF",
"first_name": "SYED BILAL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "043671706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.