Organization Active NPI

B.D.a&H

  • Dental Clinic/Center
  • Westmont, IL
National Provider Identifier
1104074632
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019025269 Issued in IL
Legal business name
B.D.A&H
Practice address
210 N Cass Ave
#D
Westmont, IL 60559-1750
Phone
(630) 737-0791
Fax
(630) 737-0799
NPI assigned
Sep 9, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bana Ahdab, D.D.S
Title
President
Phone
(630) 737-0791

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

210 N Cass Ave
Ste D
Westmont, IL 60559
Phone (312) 622-4406

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019025269 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

210 N Cass Ave
#D
Westmont, IL 60559-1750

Mailing address

210 N Cass Ave
#D
Westmont, IL 60559-1750
Phone (630) 737-0791

Other names 1

NPPES NPI Registry
  • Cass family Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2008.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1104074632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CASS AVE",
            "address_2": "#D",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591750",
            "telephone_number": "630-737-0791",
            "fax_number": "630-737-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CASS AVE",
            "address_2": "#D",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591750",
            "telephone_number": "630-737-0791",
            "fax_number": "630-737-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.D.A&H",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "AHDAB",
        "authorized_official_first_name": "BANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-737-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.