Active NPI
Amir Seifi, DDS, PC
Doing business as Four Lakes Dental
- Dentist
- Grayslake, IL
National Provider Identifier
1144618000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019028892
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.