Sara Ahmad Imtiaz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.033704 Issued in IL

Practice address

3435 W Irving Park Rd
Chicago, IL 60618-3217

Phone

(773) 588-8200

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Irving Park Family Dentist

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1942595442
  NPD
• Aras Dental Incorporation

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1700102951
  NPD (past)
• William J. Cohen, D.D.S., LTD

  • Dentist
  • Chicago, IL
  • NPI 1740402833
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1306575717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S WABASH AVE UNIT 1703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052628",
            "telephone_number": "908-500-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183217",
            "telephone_number": "773-588-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5109B S Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606324219",
            "country_code": "US",
            "telephone_number": "773-284-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573169",
            "country_code": "US",
            "telephone_number": "773-528-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMTIAZ",
        "first_name": "SARA AHMAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Implied Human Dynamics Personal Care Home
• Improving Life Counseling Inc.
• Muhammad Mustafa Imran
• Muhammed Imran, M.D
• Sarah Imran, MD
• Unknown Imtiyaz Pasha
• Imwc SC
• In Balance Psychotherapy LTD
• In Bloom Behavioral Health, PLLC
• In Flow Psychotherapy, PLLC

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.