Organization Active NPI

Amir Seifi, DDS, PC

Doing business as Four Lakes Dental

  • Dentist
  • Grayslake, IL
National Provider Identifier
1144618000
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028892 Issued in IL
Legal business name
AMIR SEIFI, DDS, PC
Doing business as
Four Lakes Dental
Practice address
859 E Belvidere Rd
Grayslake, IL 60030-2581
Phone
(847) 231-2537
NPI assigned
Dec 30, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Dr. Amir Seifi, DDS
Title
Dentist/Owner
Phone
(847) 231-2537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028892 IL Primary

Addresses

Primary practice location

859 E Belvidere Rd
Grayslake, IL 60030-2581

Mailing address

859 E Belvidere Rd
Grayslake, IL 60030-2581
Phone (847) 231-2537

Other names 1

  • Four Lakes Dental Doing business as

National Provider Directory

National Provider Directory

Locations

859 E Belvidere Rd
Grayslake, IL 60030
Phone (847) 231-2537

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1144618000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302581",
            "telephone_number": "847-231-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302581",
            "telephone_number": "847-231-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR SEIFI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "SEIFI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-231-2537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Lakes Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.