Mohammad R Ahmad, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014139A Issued in IN

Practice address

1515 W 45TH Ave
Griffith, IN 46319-3801

Phone

(219) 922-9007

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mra Dental Solutions P.L.L.C.

  • Dentist
  • Crystal Lake, IL
  • NPI 1659282903
  Authorized official Same address or phone
• Dental Professionals of Indiana, P.C.

  dba Parkside Dental Care

  • General Practice Dentistry
  • Griffith, IN
  • NPI 1306058417
  NPD (past)

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1316624158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PINEHURST DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632908",
            "telephone_number": "708-590-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W 45TH AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463193801",
            "telephone_number": "219-922-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MOHAMMAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.034303",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014139A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A1Derful Corporation
• Advent Home Health, Inc.
• Samantha Aguilar, CPRSS
• Akhtar Parvaiz MD
• Jesus David Aldape, RD
• Marjorie Alexander, LCSW
• Cameron F Alleyne
• American Family Medical Center,LLC

• General Practice Dentistry in Griffith, IN
• Providers in Griffith, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.