Organization Active NPI

Nasir J. Ahmed, D.D.S.,LTD.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1396881090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NASIR J. AHMED, D.D.S.,LTD.
Practice address
4391 N Elston Ave
Chicago, IL 60641-2147
Phone
(773) 685-9848
Fax
(773) 685-1633
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nasir J Ahmed, D.D.S.
Title
President
Phone
(773) 685-9848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

4391 N Elston Ave
Chicago, IL 60641-2147

Mailing address

4391 N Elston Ave
Chicago, IL 60641-2147
Phone (773) 685-9848

National Provider Directory

National Provider Directory

Locations

4391 N Elston Ave
Chicago, IL 60641
Phone (773) 685-9848

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396881090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412147",
            "telephone_number": "773-685-9848",
            "fax_number": "773-685-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412147",
            "telephone_number": "773-685-9848",
            "fax_number": "773-685-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIR J. AHMED, D.D.S.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NASIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-685-9848",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "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 Aug 22, 2020; 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.