Individual provider Active NPI

Yosif Jabir

  • General Practice Dentistry
  • Plainfield, IL
National Provider Identifier
1275675712
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025776 Issued in IL
Practice address
13530 S Route 59
Suite J
Plainfield, IL 60544-5658
Phone
(815) 436-1530
Fax
(815) 436-4496
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019025776 IL Primary

Addresses

Primary practice location

13530 S Route 59
Suite J
Plainfield, IL 60544-5658

Mailing address

15156 Freedom Way
Plainfield, IL 60544-1740
Phone (630) 631-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 25, 2015 through Sep 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019025776ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yosif Jabir DDS PC Current Accepting new patients
Pinnacle Dental Group General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1275675712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15156 FREEDOM WAY",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441740",
            "telephone_number": "630-631-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 S ROUTE 59",
            "address_2": "SUITE J",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445658",
            "telephone_number": "815-436-1530",
            "fax_number": "815-436-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABIR",
        "first_name": "YOSIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.