Laila Mirza

Primary specialty

DentistTaxonomy code 122300000X

License

019.037407 Issued in IL

Practice address

7345 W 25TH St
North Riverside, IL 60546-1409

Phone

(708) 447-0900

NPI assigned

Aug 5, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Premier Dental Clinc, LLC

  • General Practice Dentistry
  • North Riverside, IL
  • NPI 1811168800
  NPD (past)

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1336063148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 YORKTOWN CTR APT 343",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487713",
            "telephone_number": "713-264-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 W 25TH ST",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461409",
            "telephone_number": "708-447-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "LAILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.037407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lauren McKevitt, OTR/L
• Eric Alexander McLean, D.M.D.
• Norma Isabel Mejia
• Vanessa Jade Mendiola
• Midwest Open MRI
• Tatiana M Mitrovic, DDS
• Fatima Moeen, DMD
• Stefanie Jane Moore, OTR
• Kathleen M Morno, M.D.
• Moving Mosaic Therapy & Counseling, PLLC

• Dentist in North Riverside, IL
• Providers in North Riverside, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.