Individual provider Active NPI

Ali Sabbar

  • Dentist
  • Chicago, IL
National Provider Identifier
1396237459
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019031618 Issued in IL
Practice address
4501 S State St
Chicago, IL 60609-3758
Phone
(773) 548-0600
NPI assigned
Jun 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019031618 IL Primary

Addresses

Primary practice location

4501 S State St
Chicago, IL 60609-3758

Mailing address

679 N Katherine LN Unit a
Addison, IL 60101-1599
Phone (638) 873-0375

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

LicenseStateTypeSpecialty
019031618ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maks Dental Partners PLLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

1753 W Algonquin Rd
Mt Prospect, IL 60056
Phone (847) 952-1905

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1396237459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 N KATHERINE LN UNIT A",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011599",
            "telephone_number": "638-873-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093758",
            "telephone_number": "773-548-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAR",
        "first_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031618",
            "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 5, 2018; 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.