Individual provider Active NPI

Hussein Sahib, DMD

  • Endodontics
  • Lake in the Hills, IL
National Provider Identifier
1063894863
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
021002897 Issued in IL
Practice address
1301 Pyott Rd Ste 202
Lake in the Hills, IL 60156-9797
Phone
(847) 854-3958
Fax
(847) 854-5594
NPI assigned
Jun 29, 2015
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 021002897 IL Primary

Addresses

Primary practice location

1301 Pyott Rd Ste 202
Lake in the Hills, IL 60156-9797

Mailing address

1301 Pyott Rd Ste 202
Lake in the Hills, IL 60156-9797
Phone (847) 854-3958

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

LicenseStateTypeSpecialty
021002897ILMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
HMS Endodontics LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

1301 Pyott Rd
Ste 202
Lake in the Hills, IL 60156
Phone (815) 528-9984

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1063894863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 202",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569797",
            "telephone_number": "847-854-3958",
            "fax_number": "847-854-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 202",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569797",
            "telephone_number": "847-854-3958",
            "fax_number": "847-854-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHIB",
        "first_name": "HUSSEIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.