Ejaz U Tahir, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Practice address

2140 Wesley Ave
Berwyn, IL 60402-1858

Phone

(708) 484-8686

Fax

(708) 484-8687

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Ejaz Tahir, DDS, Ms, LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Berwyn, IL
  • NPI 1912236878
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396830808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHENANDOAH CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401462",
            "telephone_number": "630-378-4704",
            "fax_number": "630-378-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 WESLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021858",
            "telephone_number": "708-484-8686",
            "fax_number": "708-484-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "EJAZ",
        "middle_name": "U",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Suggs, LSW
• Andrea Jo Swanson, MS QMHP
• Michael Szewczyk, PHARMD
• Saatema Tashan Tabb
• Tabitha a Watts MD LTD
• Sarah Tajran
• Tamar, LTD.
• Olivia Tamayo, MSW
• Chynna Tang
• Lisa M Tang

• Orthodontics and Dentofacial Orthopedics Dentistry in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.