Organization Active NPI

Medhat Dental Excellence and Associates

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1376683086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEDHAT DENTAL EXCELLENCE AND ASSOCIATES
Practice address
6011 N Milwaukee Ave
Chicago, IL 60646-4709
Phone
(773) 774-4611
Fax
(773) 774-3973
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ramin A. Medhat, DDSNPI 1932249638
Title
Doctor
Phone
(773) 774-3973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

6011 N Milwaukee Ave
Chicago, IL 60646-4709

Mailing address

6011 N Milwaukee Ave
Chicago, IL 60646-4709
Phone (773) 774-4611

National Provider Directory

National Provider Directory

Locations

6011 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 774-4611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376683086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464709",
            "telephone_number": "773-774-4611",
            "fax_number": "773-774-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464709",
            "telephone_number": "773-774-4611",
            "fax_number": "773-774-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHAT DENTAL EXCELLENCE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDHAT",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "773-774-3973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "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 Aug 22, 2020; 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.