Active NPI
Raya Dawoud, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1366173031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.033826
- Practice address
- 3346 W Lawrence Ave
Chicago, IL 60625-5212 - Phone
- (773) 739-2219
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033826 | IL | Primary |
Addresses
Primary practice location
3346 W Lawrence Ave
Chicago, IL 60625-5212
Mailing address
900 W Fullerton Ave Apt 5a
Chicago, IL 60614-2442
Phone (331) 452-7056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033826 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1366173031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W FULLERTON AVE APT 5A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142442",
"telephone_number": "331-452-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3346 W LAWRENCE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255212",
"telephone_number": "773-739-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWOUD",
"first_name": "RAYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.