Dynasty Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DYNASTY DENTAL

Practice address

18 S Larkin Ave Ste 7
Joliet, IL 60436-1266

Phone

(815) 730-1570

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ribhi Salamah, DMDNPI 1407548076

Title

Owner

Phone

(773) 562-1697

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ribhi Salamah

  • Dentist
  • Rockford, IL
  • NPI 1407548076
  NPD (past) Authorized official
• Ramzi Ihmud, DMD

  • General Practice Dentistry
  • Joliet, IL
  • NPI 1609569979
  NPD
• Yasmine Farhan, DMD

  • Dentist
  • Monee, IL
  • NPI 1851130785
  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1275372187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S LARKIN AVE STE 7",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361266",
            "telephone_number": "815-730-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S LARKIN AVE STE 7",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361266",
            "telephone_number": "815-730-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SALAMAH",
        "authorized_official_first_name": "RIBHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-562-1697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407548076",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609569979",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Dvorak
• Bradley D. Dworsky, M.D.
• Marguerite Dworsky, FNP
• Dyna Care Home Health, Inc.
• Dynamic Ride Corp
• Kelly Rafaela Dzak, PT
• E Mediate Cure LLC
• Megan E Eads, OTD, OTR/L
• East Joliet Fire Protection District
• Easter Seals Joliet Region

• Dentist in Joliet, IL
• Providers in Joliet, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.