Nada Salem

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

319.021434 Issued in IL

Practice address

820 Davis St Ste 460
Evanston, IL 60201-4447

Phone

(847) 332-2226

NPI assigned

May 22, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Procare Dental Group, P.C.

  • Dentist
  • Evanston, IL
  • NPI 1841357084
  NPD (past)
• Stony Island Dentalworks LLC

  • Dentist
  • Chicago, IL
  • NPI 1922527852
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1245897586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E OHIO ST APT 4607",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114574",
            "telephone_number": "919-995-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DAVIS ST STE 460",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014447",
            "telephone_number": "847-332-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606492539",
            "country_code": "US",
            "telephone_number": "773-493-4937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11312 US 15 501 N Ste 107-139",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275176375",
            "country_code": "US",
            "telephone_number": "919-545-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEM",
        "first_name": "NADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11373",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "319.021434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacalyn Salamon, PHARMD
• Juan Pablo Salazar Adum, M.D.
• Adriana Halene Saldan
• Julissa Saldivar
• Ume Abi Saleem
• Jeannine Salemi, LCPC
• Ernest John Saliba, MD
• Melody Salimian
• Saltco LLC
• Ida R Salusky, PH.D.

• General Practice Dentistry in Evanston, IL
• Providers in Evanston, 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 Dec 16, 2019; 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.