NPIMap

Organization Active NPI

Atosa Sarrafi,DMD,PC

  • Dentist
  • Mt Prospect, IL
National Provider Identifier
1083889372
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026946 Issued in IL
Legal business name
ATOSA SARRAFI,DMD,PC
Practice address
259 E Rand Rd
Suite 107
Mt Prospect, IL 60056-2184
Phone
(617) 388-4349
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Atosa Sarrafi, D.M.DNPI 1104022235
Title
Dentist/Owner
Phone
(617) 388-4349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019026946 IL Primary

Addresses

Primary practice location

259 E Rand Rd
Suite 107
Mt Prospect, IL 60056-2184

Mailing address

260 E Chestnut St
Unit 3405
Chicago, IL 60611-2401
Phone (617) 388-4349

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1083889372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E CHESTNUT ST",
            "address_2": "UNIT 3405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112401",
            "telephone_number": "617-388-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E RAND RD",
            "address_2": "SUITE 107",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562184",
            "telephone_number": "617-388-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOSA SARRAFI,DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SARRAFI",
        "authorized_official_first_name": "ATOSA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "617-388-4349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.