Individual provider Active NPI

Faaiza Mahmood Bhatti, DDS

  • General Practice Dentistry
  • Dekalb, IL
National Provider Identifier
1083506604
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.036313 Issued in IL
Practice address
2442 Sycamore Rd
Dekalb, IL 60115-2050
Phone
(815) 748-2666
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.036313 IL Primary

Addresses

Primary practice location

2442 Sycamore Rd
Dekalb, IL 60115-2050

Mailing address

1774 W Orchard Rd Unit 212
North Aurora, IL 60542-0259
Phone (501) 786-5883

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
019.036313ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James Skylar O'Brien, DDS, LLC CurrentSince Jul 22, 2025 Accepting new patients
Dekamore Dental P.C. General Practice CurrentSince Jul 22, 2025 Accepting new patients

Locations

2442 Sycamore Rd
DeKalb, IL 60115
Phone (815) 748-2666

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1083506604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 W ORCHARD RD UNIT 212",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605420259",
            "telephone_number": "501-786-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152050",
            "telephone_number": "815-748-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTI",
        "first_name": "FAAIZA",
        "middle_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.