NPIMap

Organization Active NPI

Mustapha Hotait DDS PC

Doing business as Dolton Dental

  • Dental Clinic/Center
  • Dolton, IL
National Provider Identifier
1306267265
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MUSTAPHA HOTAIT DDS PC
Doing business as
Dolton Dental
Practice address
1350 E Sibley Blvd
Suite 302
Dolton, IL 60419-2965
Phone
(313) 999-8889
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Mustapha HotaitNPI 1518199850
Title
President
Phone
(313) 999-8889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

1350 E Sibley Blvd
Suite 302
Dolton, IL 60419-2965

Mailing address

1350 E Sibley Blvd
Suite 302
Dolton, IL 60419-2965
Phone (313) 999-8889

Other names 1

  • DOLTON DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dolton Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1306267265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E SIBLEY BLVD",
            "address_2": "SUITE 302",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192965",
            "telephone_number": "313-999-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E SIBLEY BLVD",
            "address_2": "SUITE 302",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192965",
            "telephone_number": "313-999-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAPHA HOTAIT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "HOTAIT",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-999-8889"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOLTON DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.