Individual provider Active NPI

Mohammad Al-Asadi, DDS, FAGD

  • General Practice Dentistry
  • Chicago Heights, IL
National Provider Identifier
1396759593
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025105 Issued in IL
Practice address
2400 Chicago Rd
Chicago Heights, IL 60411-4160
Phone
(708) 755-2400
Fax
(708) 755-2437
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-025105 IL Primary

Addresses

Primary practice location

2400 Chicago Rd
Chicago Heights, IL 60411-4160

Mailing address

2400 Chicago Rd
Chicago Heights, IL 60411-4160
Phone (708) 755-2400

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
019-025105ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Asadi Dental Partners PC General Practice Current Accepting new patients
M. Al Asadi DDS PC General Practice Past Accepting new patients
Sparkling Smiles Family Dental Past Accepting new patients

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1396759593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CHICAGO RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114160",
            "telephone_number": "708-755-2400",
            "fax_number": "708-755-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CHICAGO RD",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114160",
            "telephone_number": "708-755-2400",
            "fax_number": "708-755-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ASADI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.