Individual provider Active NPI

Ribhi Salamah

  • Dentist
  • Rockford, IL
National Provider Identifier
1407548076
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019034221 Issued in IL
Practice address
3502 E State St
Rockford, IL 61108-1914
Phone
(815) 227-1050
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019034221 IL Primary

Addresses

Primary practice location

3502 E State St
Rockford, IL 61108-1914

Mailing address

6622 W Montrose Ave
Harwood Heights, IL 60706-7162
Phone (773) 562-1697

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
019034221ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynasty Dental Dentist PastSince May 26, 2024 Accepting new patients
International Dental Center PastSince May 28, 2023 Accepting new patients
Global Dental Center Inc PastSince May 28, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1407548076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 W MONTROSE AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607067162",
            "telephone_number": "773-562-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081914",
            "telephone_number": "815-227-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAH",
        "first_name": "RIBHI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019034221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.