Mohammad Reza Ekhtera, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025849 Issued in IL

Practice address

3190 N. Elston Ave
Chicago, IL 60618-7129

Phone

(773) 564-9916

Fax

(872) 203-9984

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enamel Dental Salon PC

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1497551741
  NPD Authorized official
• Mohammad R Ekhtera DDS PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1922407667
  NPD Authorized official
• Mohammad R Ekhtera, DDS. PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1205084456
  NPD Authorized official

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1114908282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N. ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187129",
            "telephone_number": "773-564-9916",
            "fax_number": "872-203-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N. ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187129",
            "telephone_number": "773-564-9916",
            "fax_number": "872-203-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKHTERA",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025849",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005436",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin E Ekeberg, LSW
• Odera Ekeh, MPH, MD
• Sebastian Okwuchukwu Ekenze, MD
• Sebastian Ekesa
• Omonigho Ekhomu, M.D.
• Heba Fawzy Megalaa Ekladios
• Elizabeth Ann Eklund, MD
• Mary Cate Eklund, RD, LDN
• Amanda Ekman, LCSW
• Ekn LCPC PLLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.