BDD Alcd PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BDD ALCD PC

Practice address

720 Cog Cir Ste H
Crystal Lake, IL 60014-7362

Phone

(779) 220-4396

NPI assigned

Oct 23, 2025

Organization subpart

No

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

Authorized official

Name

Jay Jorbin

Title

Cfo

Phone

(312) 805-8590

Specialties & licenses 1

Addresses

Other names 1

• Advanced Laser & Cosmetic Dentistry Doing business as

Locations

Practitioners 3

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

• Ravi Amin

  • Dentist
  • Crystal Lake, IL
  • NPI 1962986208
  NPD (past)
• Muizz Merchant

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1275010134
  NPD (past)
• Chirag Patel, D.D.S.

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1275841918
  NPD (past)

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1275400129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 COG CIR STE H",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147362",
            "telephone_number": "779-220-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDD ALCD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "JORBIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-805-8590"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Laser & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Bauman, PSY.D
• Mikayla Bavaro, LSW
• Honeid Mohsin Baxamusa, M.D.
• Rahil Baxamusa, DPM
• Richard Joseph Bayram III
• Heather Beall, M.D.
• Annette M Bear
• Kevin Becker
• Sumit Bector, MD
• Linda Bedsole, PSY.D.

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, 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 Apr 19, 2026; 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.