Fahad Al Mufti

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031121 Issued in IL

Practice address

901 S Ashland Ave Apt 203
Chicago, IL 60607-4082

Phone

(619) 201-7326

NPI assigned

Jun 5, 2017

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

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

• Al Mufti Inc

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1851923734
  Authorized official Same address or phone

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205365129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ASHLAND AVE APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074082",
            "telephone_number": "619-201-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ASHLAND AVE APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074082",
            "telephone_number": "619-201-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MUFTI",
        "first_name": "FAHAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadhil Al Janabi
• Obada Ahmad Al Jayyousi
• Abdallah Al Khateeb, MBBS
• Zahra Mostafa Al Khuridah, M.D
• Al Mufti Inc
• Ahmad Al Najjar, DMD
• Mohammad Al Nobani
• Fatimah Al Shaikhli
• Marwah Muaad Omar Al Tekreeti, MD
• Sarah Moh'D Al Shafi Moh'D Al Zoubi, M.D

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.