Individual provider Active NPI

Juweria Amjed, DMD

  • Dentist
  • Naperville, IL
National Provider Identifier
1164046819
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019032584 Issued in IL
Practice address
4015 Plainfield Naperville Rd Ste 106
Naperville, IL 60564-4239
Phone
(630) 326-7056
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019032584 IL Primary

Addresses

Primary practice location

4015 Plainfield Naperville Rd Ste 106
Naperville, IL 60564-4239

Mailing address

8114 Winter Cir
Downers Grove, IL 60516-4505
Phone (630) 501-5638

Other practice location 1

1639 S Cicero Ave
Cicero, IL 60804-1520
Phone (708) 477-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019032584ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arif Samee, DDS CHTD PastSince May 1, 2020 Accepting new patients
Cicero Dental Center LLC PastSince May 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1164046819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 WINTER CIR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164505",
            "telephone_number": "630-501-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 PLAINFIELD NAPERVILLE RD STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644239",
            "telephone_number": "630-326-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1639 S Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608041520",
            "country_code": "US",
            "telephone_number": "708-477-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMJED",
        "first_name": "JUWERIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.