NPIMap

Organization Active NPI

Stone Park Dental Inc

  • General Practice Dentistry
  • Stone Park, IL
National Provider Identifier
1124278734
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027051 Issued in IL
Legal business name
STONE PARK DENTAL INC
Practice address
1550 N Mannheim Rd
Stone Park, IL 60165-1300
Phone
(708) 338-4444
Fax
(708) 338-4448
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Ahmed Ramaha, DDS
Title
Dentist
Phone
(708) 338-4444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019027051 IL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019027644 IL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019027035 IL

Addresses

Primary practice location

1550 N Mannheim Rd
Stone Park, IL 60165-1300

Mailing address

1550 N Mannheim Rd
Stone Park, IL 60165-1300
Phone (708) 338-4444

Other names 1

  • UNIVERSAL DENTAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1124278734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MANNHEIM RD",
            "city": "STONE PARK",
            "state": "IL",
            "postal_code": "601651300",
            "telephone_number": "708-338-4444",
            "fax_number": "708-338-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MANNHEIM RD",
            "city": "STONE PARK",
            "state": "IL",
            "postal_code": "601651300",
            "telephone_number": "708-338-4444",
            "fax_number": "708-338-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE PARK DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-338-4444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027051",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027644",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.