Kassim M Bazirgan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019031698 Issued in IL

Practice address

3435 W Irving Park Rd
Chicago, IL 60618-3217

Phone

(773) 588-8200

Fax

(773) 588-8208

NPI assigned

Jun 7, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Irving Park Family Dentist

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1942595442
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1174016992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183217",
            "telephone_number": "773-588-8200",
            "fax_number": "773-588-8208"
        },
        {
            "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",
            "fax_number": "773-588-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZIRGAN",
        "first_name": "KASSIM",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tykisha Bays
• Delton Bazan-Peche, D.C.
• Bazan'S Health Center Inc
• Hayley Bazarek, MS, CCC-SLP
• Bazell Clinic, LLC
• Elizabeth G Bazzetta, PA-C
• Sarah Bazzetta, L.C.S.W
• Sarah Bazzetta, PA-C
• Amelia Bazzi
• BBT Foundation LLC

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.