Active NPI
Sadaf Safavinejad, DDS
- Dentist
- Joliet, IL
National Provider Identifier
1295142891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029901
- Practice address
- 825 Plainfield Rd
Joliet, IL 60435-5900 - Phone
- (815) 726-6000
- NPI assigned
- Jul 15, 2014
- Last updated
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029901 | IL | Primary |
Addresses
Primary practice location
825 Plainfield Rd
Joliet, IL 60435-5900
Mailing address
825 Plainfield Rd
Joliet, IL 60435-5900
Phone (815) 726-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529002637 | IL | Order and Referring Only - Dentist | 3476874686 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029901 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krishan Dental Limited | Past | Accepting new patients |
Interoperability endpoints
- sadaf.safavinejad.p1@direct.gefcc.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Joliet Family Dental
- General Practice Dentistry
- Joliet, IL
- NPI 1699917153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1295142891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 PLAINFIELD RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355900",
"telephone_number": "815-726-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 PLAINFIELD RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355900",
"telephone_number": "815-726-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAVINEJAD",
"first_name": "SADAF",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
- Ryse Counseling & Consulting, PLLC
- RZ Consulting, LLC
- Sabah Akbar OD LTD (Lumenis Eye Care & Wellness)
- Claude Sadovsky, MD
- Abdul R Safadi, M.D.
- Sage Counseling
- Sage Rehabilitation Inc
- Jillian Sage, BCBA
- Saint Joseph Medical Center - Joliet LLC (Saint Joseph Medical Center)
- Saint Joseph Medical Center - Joliet LLC (Saint Joseph Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.