Hyde Park Amazing Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HYDE PARK AMAZING DENTAL LLC

Practice address

1634 E 53Rd St
Chicago, IL 60615-4384

Phone

(773) 966-6465

Fax

(773) 952-4683

NPI assigned

Apr 25, 2019

Last updated

Aug 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Ramaha, DDSNPI 1891986790

Title

Owner

Phone

(082) 532-2897

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed Ramaha, DDS, MS

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1891986790
  Authorized official Same address or phone

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1275197253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST STE 302",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592185",
            "telephone_number": "708-394-5100",
            "fax_number": "708-907-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154384",
            "telephone_number": "773-966-6465",
            "fax_number": "773-952-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK AMAZING DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "082-532-2897",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Health PC
• Christian F Hyacinthe, MD
• Julie Hyatt, MSMFT, LMFT
• Summer Hyche
• Nosheen H Hydari, MS MFT, LMFT
• Hyde Park Associates in Medicine LTD
• Hyde Park Center for Healing LLC
• Hyde Park Chiropractic Wellness Center SC
• Hyde Park Counseling & Therapy PLLC
• Hyde Park Counseling & Therapy PLLC (Hyde Park Counseling & Therapy)

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Aug 9, 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.