Active NPI
Omar Souman, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chicago, IL
National Provider Identifier
1316233554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021003297
- Practice address
- 201 N Westshore Dr Apt 2501
Chicago, IL 60601-7274 - Phone
- (608) 213-7927
- NPI assigned
- Jun 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.028602 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021003297 | IL | Primary |
Addresses
Primary practice location
201 N Westshore Dr Apt 2501
Chicago, IL 60601-7274
Mailing address
201 N Westshore Dr Apt 2501
Chicago, IL 60601-7274
Phone (608) 213-7927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.028602 | IL | MD | General Practice Dentistry |
| 021003297 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1316233554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N WESTSHORE DR APT 2501",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017274",
"telephone_number": "608-213-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N WESTSHORE DR APT 2501",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017274",
"telephone_number": "608-213-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMAN",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2023-11-08",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.028602",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021003297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.