NPIMap

Organization Active NPI

Zaid Dentistry Inc.

  • Dentist
  • Chicago, IL
National Provider Identifier
1285061572
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029496 Issued in IL
Legal business name
ZAID DENTISTRY INC.
Practice address
2416 W Thomas St
Apt. 3
Chicago, IL 60622-3531
Phone
(804) 307-1012
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Zaid Jerrie Al-Samir, DDS
Title
Dentist
Phone
(804) 307-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019029496 IL Primary

Addresses

Primary practice location

2416 W Thomas St
Apt. 3
Chicago, IL 60622-3531

Mailing address

2416 W Thomas St
Apt. 3
Chicago, IL 60622-3531
Phone (804) 307-1012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1285061572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 W THOMAS ST",
            "address_2": "APT. 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223531",
            "telephone_number": "804-307-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 W THOMAS ST",
            "address_2": "APT. 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223531",
            "telephone_number": "804-307-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAID DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "AL-SAMIR",
        "authorized_official_first_name": "ZAID",
        "authorized_official_middle_name": "JERRIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-307-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029496",
            "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 1, 2013; 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.