Fatemeh Afshar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025221 Issued in IL

Practice address

430 Milwaukee Ave
Suite #7
Lincolnshire, IL 60069-3015

Phone

(847) 478-9640

Fax

(847) 478-9642

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Grayslake Dental Crare

  • Dental Clinic/Center
  • Grayslake, IL
  • NPI 1073155750
  NPD Authorized official
• Shirelake Group LLC

  dba Lincolnshire Dental Care

  • Dentist
  • Lincolnshire, IL
  • NPI 1508084823
  NPD Authorized official

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1396078978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "SUITE #7",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-478-9640",
            "fax_number": "847-478-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "SUITE #7",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-478-9640",
            "fax_number": "847-478-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSHAR",
        "first_name": "FATEMEH",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Louise Aculado
• Tomilola Adewolu, PMHNP
• Adlai E Stevenson H S D 125
• Advanced Dermatology,LLC
• Advocate Health and Hospitals Corporation (Advocate Medical Group)
• Jamal Ahmad, M.D.
• Ahn Orthodontics, Inc
• Eun Jeong Ahn
• Nicoletta Alexopoulos
• Jennifer Allen

• General Practice Dentistry in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.