NPIMap

Organization Active NPI

Esam Jumani D.D.S.,P.C.

  • Dentist
  • Hazel Crest, IL
National Provider Identifier
1184008930
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.029987 Issued in IL
Legal business name
ESAM JUMANI D.D.S.,P.C.
Practice address
17500 E Carriageway Dr
Suite B
Hazel Crest, IL 60429-2057
Phone
(708) 799-1300
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. Esam Jumani, D.D.SNPI 1093124190
Title
President
Phone
(917) 544-1626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.029987 IL Primary

Addresses

Primary practice location

17500 E Carriageway Dr
Suite B
Hazel Crest, IL 60429-2057

Mailing address

17500 E Carriageway Dr
Suite B
Hazel Crest, IL 60429-2057
Phone (708) 799-1300

Other names 1

  • Artistic Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

17500 E Carriageway Dr
Ste B
Hazel Crest, IL 60429
Phone (708) 799-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1184008930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 E CARRIAGEWAY DR",
            "address_2": "SUITE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292057",
            "telephone_number": "708-799-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 E CARRIAGEWAY DR",
            "address_2": "SUITE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292057",
            "telephone_number": "708-799-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESAM JUMANI D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "JUMANI",
        "authorized_official_first_name": "ESAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-544-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artistic Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.