Individual provider Active NPI

Eman Ali Shirazi, DDS

  • Dentist
  • Lake in the Hills, IL
National Provider Identifier
1174850317
Registry record updated Nov 9, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Sep 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1902-5647 Issued in IL
Practice address
2250 W Algonquin Rd
Suite 101
Lake in the Hills, IL 60156-1289
Phone
(847) 854-2970
Fax
(847) 854-3171
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1902-5647 IL Primary

Addresses

Primary practice location

2250 W Algonquin Rd
Suite 101
Lake in the Hills, IL 60156-1289

Mailing address

2250 W Algonquin Rd
Suite 101
Lake in the Hills, IL 60156-1289
Phone (847) 854-2970

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1902-5647ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eman Shirazi DDS PC Past Accepting new patients

Organizations & group practices 1

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1174850317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 W ALGONQUIN RD",
            "address_2": "SUITE 101",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561289",
            "telephone_number": "847-854-2970",
            "fax_number": "847-854-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W ALGONQUIN RD",
            "address_2": "SUITE 101",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561289",
            "telephone_number": "847-854-2970",
            "fax_number": "847-854-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "EMAN",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "1902-5647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.