Organization Active NPI

Specialty Dental Services LTD

  • Periodontics
  • Chicago, IL
National Provider Identifier
1275409153
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SPECIALTY DENTAL SERVICES LTD
Practice address
111 N Wabash Ave Ste 812
Chicago, IL 60602-1912
Phone
(312) 273-9350
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Dr. Saad Khizar Usmani, BDS, MSDNPI 1669928685
Title
Periodontist, Owner
Phone
(312) 273-9350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 812
Chicago, IL 60602-1912

Mailing address

111 N Wabash Ave Ste 812
Chicago, IL 60602-1912
Phone (312) 273-9350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260507002015 IL Part B Supplier - Clinic/Group Practice 7214405265 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1275409153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021912",
            "telephone_number": "312-273-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021912",
            "telephone_number": "312-273-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DENTAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "USMANI",
        "authorized_official_first_name": "SAAD",
        "authorized_official_middle_name": "KHIZAR",
        "authorized_official_title_or_position": "PERIODONTIST, OWNER",
        "authorized_official_telephone_number": "312-273-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "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 Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.