Active NPI
Bana Adel Zayyad, DDS
- General Practice Dentistry
- Bridgeview, IL
National Provider Identifier
1063085447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.033347
- Practice address
- 8729 S Harlem Ave
Bridgeview, IL 60455-1905 - Phone
- (708) 599-6600
- NPI assigned
- Jul 22, 2021
- Last updated
- Jul 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.033347 | IL | Primary |
Addresses
Primary practice location
8729 S Harlem Ave
Bridgeview, IL 60455-1905
Mailing address
9200 S 82ND Ave
Hickory Hills, IL 60457-1910
Phone (708) 600-5905
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 |
|---|---|---|---|
| 019.033347 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1063085447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 S 82ND AVE",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604571910",
"telephone_number": "708-600-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8729 S HARLEM AVE",
"city": "BRIDGEVIEW",
"state": "IL",
"postal_code": "604551905",
"telephone_number": "708-599-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAYYAD",
"first_name": "BANA",
"middle_name": "ADEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.033347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.