NPIMap

Organization Active NPI

Asfour Dental Inc

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1295988202
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024297 Issued in IL
Legal business name
ASFOUR DENTAL INC
Practice address
11315 W 143Rd St
Orland Park, IL 60467-7221
Phone
(708) 364-0900
Fax
(708) 364-0909
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Sawsan Asfour, DDSNPI 1558412106
Title
Doctor/Owner
Phone
(708) 364-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024297 IL Primary

Addresses

Primary practice location

11315 W 143Rd St
Orland Park, IL 60467-7221

Mailing address

11315 W 143Rd St
Orland Park, IL 60467-7221
Phone (708) 364-0900

Other identifiers 2

IdentifierTypeStateIssuer
019026013/920038MedicaidIL
019024297/1001093MedicaidIL

Other names 1

  • Orland Advanced Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11315 W 143rd St
Orland Park, IL 60467
Phone (708) 364-0900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1295988202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677221",
            "telephone_number": "708-364-0900",
            "fax_number": "708-364-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677221",
            "telephone_number": "708-364-0900",
            "fax_number": "708-364-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASFOUR DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "ASFOUR",
        "authorized_official_first_name": "SAWSAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "708-364-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019026013/920038",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019024297/1001093",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orland Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.