Individual provider Active NPI

Paldin Yousef, DMD

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1295359586
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032564 Issued in IL
Practice address
720 N Washington St Ste 106
Naperville, IL 60563-3462
Phone
(630) 420-9090
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 019032564 IL Primary

Addresses

Primary practice location

720 N Washington St Ste 106
Naperville, IL 60563-3462

Mailing address

1 E Delaware PL
Chicago, IL 60611-1449
Phone (847) 834-1396

Other practice location 1

2239 W Jefferson St Ste 104
Joliet, IL 60435-6444
Phone (815) 207-4442

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208000627 IL Order and Referring Only - DentistPractitioner - Dentist 6305250176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1295359586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E DELAWARE PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111449",
            "telephone_number": "847-834-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N WASHINGTON ST STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633462",
            "telephone_number": "630-420-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2239 W Jefferson St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604356444",
            "country_code": "US",
            "telephone_number": "815-207-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "PALDIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.