Hicham Riba DDS P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019024373 Issued in IL

Legal business name

HICHAM RIBA DDS P.C.

Doing business as

Dental Magic

Practice address

2556 W North Ave
Chicago, IL 60647

Phone

(773) 360-1281

Fax

(773) 360-1285

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia C Kieffer

Title

Operations Manager

Phone

(708) 819-0515

Specialties & licenses 2

Addresses

Other names 1

• Dental Magic Doing business as

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1053609701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-360-1281",
            "fax_number": "773-360-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-360-1281",
            "fax_number": "773-360-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICHAM RIBA DDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "708-819-0515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024373",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Magic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayonna Hibbler
• Shayna Dora Hibbs, M.D.
• Katherine Hibey, LPC
• Narutoshi Hibino, MD
• Adam Hibma, PSYD
• Isabel Hickerson, LCSW
• Brittany Hickey
• Caroline McGann Hickey
• Catherine Hickey, PA-C
• Colleen Hickey, M.D

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.