My Care Dental Tinley Park PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MY CARE DENTAL TINLEY PARK PLLC

Practice address

18311 N Creek Dr Ste a
Tinley Park, IL 60477-6204

Phone

(708) 444-7288

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Omar Shalash, DDSNPI 1538652524

Title

Doctor/ Owner

Phone

(917) 993-2245

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Omar Shalash, DDS

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
  • NPI 1538652524
  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1396417580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18311 N CREEK DR STE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776204",
            "telephone_number": "708-444-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18311 N CREEK DR STE A",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776204",
            "telephone_number": "708-444-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CARE DENTAL TINLEY PARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "SHALASH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "917-993-2245",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Munoz
• Stephanie Munoz
• Mohammed Muqeet Adnan, MD
• Caitlyn K Murphy, SLP
• Jennifer Mutter, OTD
• Pamela M Myers
• Nabila'S Nutrition
• Suzanne M Nahm, PTA
• Kaitlin Napoli, PA
• Brenda Rimando Narcelles, MD

• Dental Clinic/Center in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.