Juwairiya Syed, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030363 Issued in IL

Practice address

75 W North Ave
#400
Northlake, IL 60164-2306

Phone

(708) 562-5100

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1144605262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W NORTH AVE",
            "address_2": "#400",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642306",
            "telephone_number": "708-562-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W NORTH AVE",
            "address_2": "#400",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642306",
            "telephone_number": "708-562-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "JUWAIRIYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Marie Snyder, B.S., D.T.
• Cesar Andres Sosa
• Dianna Emma Spina
• Joseph David Stahler, LSW
• Jennifer Strzelczyk, MHS, CCC/SLP
• Denice Sykes
• Kyle Tanzillo, MOT, OTR/L
• Shakuntala S Teas
• Therapeutic Changes, P.C.
• Tickel Chiropractic PC

• General Practice Dentistry in Northlake, IL
• Providers in Northlake, 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 Jul 30, 2015; 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.