Active NPI
Mohammad R Ekhtera, DDS. PC
- General Practice Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31901441
- Legal business name
- MOHAMMAD R EKHTERA, DDS. PC
- Practice address
- 3190 E. Elston Ave
Chicago, IL 60618-7129 - Phone
- (773) 564-9916
- Fax
- (872) 203-9984
- NPI assigned
- Aug 29, 2008
- Last updated
- Oct 20, 2025
- 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. Mohammad R Ekhtera, DDS
- Title
- President
- Phone
- (224) 875-0343
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31901441 | IL | Primary |
Addresses
Primary practice location
3190 E. Elston Ave
Chicago, IL 60618-7129
Mailing address
1700 Washington Ave
Wilmette, IL 60091-2421
Phone (224) 875-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005436 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Mohammad R Ekhtera DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1922407667
Locations
4235 W Armitage Ave
Chicago, IL 60639
Phone (773) 342-1600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1114908282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1205084456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WASHINGTON AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912421",
"telephone_number": "224-875-0343",
"fax_number": "872-203-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 E. ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187129",
"telephone_number": "773-564-9916",
"fax_number": "872-203-9984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMAD R EKHTERA, DDS. PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-29",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "EKHTERA",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "224-875-0343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "31901441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005436",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.