Maria Hamidani, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2015018527 Issued in MO

Practice address

620 West Edgewood Road
Lombard, IL 60148-3234

Phone

(773) 294-2762

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1326420084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WEST EDGEWOOD ROAD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WEST EDGEWOOD ROAD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483234",
            "telephone_number": "773-294-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDANI",
        "first_name": "MARIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015018527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Haley
• Miena Meek Hall, MD
• Prwsha Hama Rasheed
• Rebecca Hamaker, D.C.
• Hamdard Home Care LLC
• Mary Theresa Hamilton
• Beth Lauren Hammar, MOT OTRL
• Siedah Hampton, LSW
• Kathy Handley, RN
• Zaria Hankins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.