Individual provider Active NPI

Mohammed Salamah, D.D.S

  • Dentist
  • Aurora, IL
National Provider Identifier
1295896827
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026586 Issued in IL
Practice address
1677 Montgomery Rd
Aurora, IL 60504-8802
Phone
(630) 499-9400
Fax
(630) 499-9494
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019026586 IL Primary

Addresses

Primary practice location

1677 Montgomery Rd
Aurora, IL 60504-8802

Mailing address

1677 Montgomery Rd
Aurora, IL 60504-8802
Phone (630) 499-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019026586ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Dental Associates Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1295896827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 MONTGOMERY RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048802",
            "telephone_number": "630-499-9400",
            "fax_number": "630-499-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 MONTGOMERY RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048802",
            "telephone_number": "630-499-9400",
            "fax_number": "630-499-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAH",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.