Elgin Amazing Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELGIN AMAZING DENTAL LLC

Practice address

229 National St
Elgin, IL 60120-7816

Phone

(847) 457-1010

Fax

(847) 214-1352

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Ahmed Ramaha

Title

Owner

Phone

(708) 253-2289

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1124682190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST STE 302",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592185",
            "telephone_number": "201-423-3203",
            "fax_number": "708-394-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NATIONAL ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601207816",
            "telephone_number": "847-457-1010",
            "fax_number": "847-214-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN AMAZING DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-253-2289"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Ehler, LCSW
• Jawed Ehsan, MD
• Kate Eischen, MPH
• Jennifer Eklund, M.D.
• Haytham Eleissawy, PHARMD
• Elgin Cardiac Surgery SC
• Elgin Cardiac Surgery, S.C.
• Elgin Cardiovascular LTD
• Elgin Care Center SC
• Elgin Center Pharmacy Inc

• General Practice Dentistry in Elgin, IL
• Providers in Elgin, 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 Aug 9, 2019; 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.