Active NPI
Mohammed Parvez, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1265786719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029218
- Practice address
- 440 N Wabash Ave
Apt 3003
Chicago, IL 60611-3549 - Phone
- (630) 294-1770
- NPI assigned
- Nov 6, 2012
- Last updated
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 019029218 | IL | Primary |
Addresses
Primary practice location
440 N Wabash Ave
Apt 3003
Chicago, IL 60611-3549
Mailing address
440 N Wabash
Apt 3003
Chicago, IL 60611
Phone (630) 222-5026
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216002886 | IL | Order and Referring Only - Dentist | 1153626908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029218 | IL | MD | Dentist |
Organizations & group practices 12
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1265786719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N WABASH",
"address_2": "APT 3003",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "630-222-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N WABASH AVE",
"address_2": "APT 3003",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113549",
"telephone_number": "630-294-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARVEZ",
"first_name": "MOHAMMED",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-06",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029218",
"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 Jul 24, 2024; 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.