Erez Nosrati, DMD, MSD, MSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

019028808 Issued in IL

Practice address

1901 S Calumet Ave Unit 2005
Chicago, IL 60616-6024

Phone

(312) 731-5554

NPI assigned

Sep 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1225319981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CALUMET AVE UNIT 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606166024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CALUMET AVE UNIT 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606166024",
            "telephone_number": "312-731-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSRATI",
        "first_name": "EREZ",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028808",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019028808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Anthony Nosal, M.D.
• Laurie Noschese, PHARMD
• Nosduh LLC
• Nosheen Hydari Therapy, Inc.
• Gary Noskin, MD
• Nostos Psychotherapy
• Notary Sign Chicago LLC
• Sandra Nothegger, M.S.W.,L.C.S.W
• Virginia Nothnagel, M.S., R.D., L.D.N.
• Nothwestern Reproductive Genetics

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.