Syed Muhammad Misbahuddin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.033957 Issued in IL

Practice address

2415 Bowes Rd Ste 110
Elgin, IL 60123-5530

Phone

(847) 386-4300

Fax

(847) 686-3622

NPI assigned

Sep 30, 2022

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: misbahuddin.syed.p11@direct.fhn-fqhc.nextgenshare.com

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.

• Yousaf Ahmad DDS LLC

  dba Violet creek Family Dentistry

  • General Practice Dentistry
  • Elgin, IL
  • NPI 1780059063
  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1326762592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HEMSTEAD ST",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441156",
            "telephone_number": "612-516-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOWES RD STE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235530",
            "telephone_number": "847-386-4300",
            "fax_number": "847-686-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISBAHUDDIN",
        "first_name": "SYED",
        "middle_name": "MUHAMMAD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alan Milofsky, ED.D.
• Dean Milosch
• Anthony Mirabella
• Patrick Miranda
• Shaheen Fatima Misbah, MD
• Qaynat S Mithani, DO
• Katherine Helen Mittelbrun
• Ellen Michelle Mlot, D.O.
• Mme Servies, LTD
• Mobility Transitions LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.