Dental Starz 3 L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL STARZ 3 L.L.C

Practice address

1701 N Larkin Ave
Suite 504 a
Crest Hill, IL 60403-1970

Phone

(708) 562-5100

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Asim, D.D.SNPI 1043412620

Title

General Dentist

Phone

(708) 562-5100

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed Adil Asim, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1043412620
  Authorized official Same address or phone

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1063862431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N LARKIN AVE",
            "address_2": "SUITE 504 A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031970",
            "telephone_number": "708-562-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N LARKIN AVE",
            "address_2": "SUITE 504 A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031970",
            "telephone_number": "708-562-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL STARZ 3 L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "ASIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "708-562-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davidson Chiropractic Clinic PC
• Timothy A Davidson, D.C.
• Mary A Davis, LCSW
• Noemi Delgado, RBT-18-49906
• Jenalee Demarco, SLP
• James F Derk, D.P.M.
• Aamirah Jeelani Dhar, M.D.
• Diagnostic Services LLC
• Dolar R Koya MD SC
• Bryce Donkor

• General Practice Dentistry in Crest Hill, IL
• Providers in Crest Hill, 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 16, 2016; 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.