Individual provider Active NPI

Mazher Syed, DDS

  • Dentist
  • Skokie, IL
National Provider Identifier
1326437633
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0190300090 Issued in IL
Practice address
9327 Skokie Blvd Unit C
Skokie, IL 60077-1310
Phone
(773) 814-4205
NPI assigned
Jan 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0190300090 IL Primary

Addresses

Primary practice location

9327 Skokie Blvd Unit C
Skokie, IL 60077-1310

Mailing address

3014 S Halsted St
Chicago, IL 60608-5805
Phone (312) 291-9283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20160818000674 IL Order and Referring Only - DentistPractitioner - Dentist 9335434158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0190300090ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Humzavis Dental CurrentSince Sep 12, 2021 Accepting new patients
Humzavis Dental CurrentSince Mar 22, 2020 Accepting new patients
Bridgeport Smiles Past Accepting new patients

Locations

9327 Skokie Blvd
Unit C
Skokie, IL 60077
Phone (847) 227-8277

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1326437633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085805",
            "telephone_number": "312-291-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 SKOKIE BLVD UNIT C",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771310",
            "telephone_number": "773-814-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "MAZHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-10",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "0190300090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.