Active NPI
Fnu Mohammed Nooruddin, DDS
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1124931316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.037434
- Practice address
- 3435 W Irving Park Rd
Chicago, IL 60618-3217 - Phone
- (773) 588-8200
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.037434 | IL | Primary |
Addresses
Primary practice location
3435 W Irving Park Rd
Chicago, IL 60618-3217
Mailing address
818 Bishop CT
Schaumburg, IL 60194-2201
Phone (224) 623-3771
Other names 1
- Dr. Mohammed Nooruddin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1124931316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 BISHOP CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601942201",
"telephone_number": "224-623-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183217",
"telephone_number": "773-588-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED NOORUDDIN",
"first_name": "FNU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.037434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOHAMMED",
"last_name": "NOORUDDIN",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.