Organization Active NPI

Todo Dental LLC

  • Dentist
  • Chicago, IL
National Provider Identifier
1306687785
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TODO DENTAL LLC
Practice address
3750 W 26TH St
Chicago, IL 60623-3826
Phone
(773) 522-0855
NPI assigned
Jun 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Dr. Ahmed M Hegazy, DMD
Title
Ceo
Phone
(646) 270-0496

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3750 W 26TH St
Chicago, IL 60623-3826

Mailing address

1742 Elyse LN
Naperville, IL 60565-4420
Phone (646) 270-0496

Other names 1

  • Todo Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3750 W 26th St
Chicago, IL 60623
Phone (773) 522-0855

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": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1306687785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 ELYSE LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654420",
            "telephone_number": "646-270-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233826",
            "telephone_number": "773-522-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODO DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "HEGAZY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-270-0496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todo Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Todo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.