Active NPI
Ahsan Ahmed, D.D.S.M.S.
- General Practice Dentistry
- St Charles, IL
National Provider Identifier
1306837349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019025114
- Practice address
- 32 Saint Germain PL
St Charles, IL 60175-4606 - Phone
- (630) 587-4470
- Fax
- (630) 513-1905
- NPI assigned
- Oct 31, 2005
- Last updated
- May 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019025114 | IL | Primary |
Addresses
Primary practice location
32 Saint Germain PL
St Charles, IL 60175-4606
Mailing address
32 Saint Germain PL
St Charles, IL 60175-4606
Phone (630) 587-4470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005317 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 25, 2015 through Sep 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019025114 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1306837349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SAINT GERMAIN PL",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601754606",
"telephone_number": "630-587-4470",
"fax_number": "630-513-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SAINT GERMAIN PL",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601754606",
"telephone_number": "630-587-4470",
"fax_number": "630-513-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "AHSAN",
"credential": "D.D.S.M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019025114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005317",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
- Advocate Dental St Charles, LLC (Bespoke Dental Co.)
- Becky Affinito
- Affordable Dentistry Today, PC (St. Charles Lifetime Dental)
- Melissa Aguayo, PT, DPT
- Patrick Joseph Ahern, JD LCSW
- Kesha D Ainsworth, LSW, CADC
- Air Ambulance Forum, Inc. (One Call Medical Transports)
- Ajdw Therapy PLLC
- Abdul Monim Albazzaz, D.M.D.
- Karen A Alberti
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.