Active NPI
Baraa Abusaoud, DMD
- Dentist
- Joliet, IL
National Provider Identifier
1205568235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.033600
- Practice address
- 825 Plainfield Rd
Joliet, IL 60435-5900 - Phone
- (815) 726-6000
- NPI assigned
- Jun 28, 2022
- Last updated
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033600 | IL | Primary |
Addresses
Primary practice location
825 Plainfield Rd
Joliet, IL 60435-5900
Mailing address
9338 Pepperwood Dr
Orland Hills, IL 60487-5604
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033600 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krishan Dental Limited | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Joliet Family Dental
- General Practice Dentistry
- Joliet, IL
- NPI 1699917153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1205568235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9338 PEPPERWOOD DR",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604875604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 PLAINFIELD RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355900",
"telephone_number": "815-726-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUSAOUD",
"first_name": "BARAA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
- Olubanwo Abejide, DMD
- Clarence Abella, M.D.
- Teresa Marie Abels, MHP
- Tintu Elsa Abraham, MSC
- Dima Abuhamda, DDS
- Accelerated Rehab Centers LTD
- Accelerated Rehabilitation Centers, LTD (Newsome Physical Therapy Network)
- Accuquest Hearing Center, LLC
- Achieving My Potential Therapy LLC
- Actualizing Your Best Self, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.