NPIMap

Organization Active NPI

Morvarid Sadri DDS PC

  • Dentist
  • Chicago, IL
National Provider Identifier
1376932137
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026206 Issued in IL
Legal business name
MORVARID SADRI DDS PC
Practice address
3834 N Ashland Ave
Chicago, IL 60613-2766
Phone
(773) 404-8030
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Dr. Morvarid Sadri, DDSNPI 1194805382
Title
President
Phone
(773) 404-8030

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019026206 IL Primary

Addresses

Primary practice location

3834 N Ashland Ave
Chicago, IL 60613-2766

Mailing address

3834 N Ashland Ave
Chicago, IL 60613-2766
Phone (773) 404-8030

Other names 1

  • Sadri's Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1376932137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132766",
            "telephone_number": "773-404-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132766",
            "telephone_number": "773-404-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORVARID SADRI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "SADRI",
        "authorized_official_first_name": "MORVARID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-404-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sadri's Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2015; 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.