Eman Shirazi DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19025647 Issued in IL

Legal business name

EMAN SHIRAZI DDS PC

Practice address

2250 West Algonquin Road
Ste 101
Lake in the Hills, IL 60156

Phone

(847) 854-2970

Fax

(847) 854-3171

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eman A Shirazi, DDSNPI 1174850317

Title

Owner

Phone

(847) 854-2970

Specialties & licenses 1

Addresses

Other names 1

• Watertower Family Dental Doing business as

Locations

Practitioners 1

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

• Eman Ali Shirazi, DDS

  • Dentist
  • Lake in the Hills, IL
  • NPI 1174850317
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1396830394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 WEST ALGONQUIN ROAD",
            "address_2": "STE 101",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-854-2970",
            "fax_number": "847-854-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 WEST ALGONQUIN ROAD",
            "address_2": "STE 101",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-854-2970",
            "fax_number": "847-854-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAN SHIRAZI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "EMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-854-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19025647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertower Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianne Egger
• Kathleen Snyder Ehrlich, CCC-SLP
• Elderly Care Connections, LLP
• Lynne Marie Eldredge, HIS
• Alia Elshaer, LCSW
• Samuel Engmann, PHARMD
• Riley Epperson
• Jon Escamilla
• Everyday Psychotherapy LLC
• Expert Health & Rehabilitation

• General Practice Dentistry in Lake in the Hills, IL
• Providers in Lake in the Hills, 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 Nov 9, 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.