NPIMap

Organization Active NPI

Payam Rezai DDS PC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1235565110
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
060010572 Issued in IL
Legal business name
PAYAM REZAI DDS PC
Practice address
3927 W Belmont Ave Ste 105
Chicago, IL 60618-5170
Phone
(847) 502-2127
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Payam Rezai, DDSNPI 1770804411
Title
President
Phone
(847) 502-2127

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
Dental Clinic/Center 261QD0000X 060010572 IL Primary

Addresses

Primary practice location

3927 W Belmont Ave Ste 105
Chicago, IL 60618-5170

Mailing address

1901 S Calumet Ave Unit 1107
Chicago, IL 60616-6008
Phone (847) 502-2127

National Provider Directory

National Provider Directory

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": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1235565110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CALUMET AVE UNIT 1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606166008",
            "telephone_number": "847-502-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 W BELMONT AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185170",
            "telephone_number": "847-502-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM REZAI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "REZAI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-502-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "060010572",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 23, 2013; 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.