Active NPI
Amana Family Dental PC
- General Practice Dentistry
- Orland Park, IL
National Provider Identifier
1407569247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AMANA FAMILY DENTAL PC
- Practice address
- 9544 W 147TH St
Orland Park, IL 60462-2502 - Phone
- (708) 981-3433
- Fax
- (708) 966-0082
- NPI assigned
- Dec 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hicham Riba
- Title
- DDS
- Phone
- (708) 981-3433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
9544 W 147TH St
Orland Park, IL 60462-2502
Mailing address
9544 W 147TH St
Orland Park, IL 60462-2502
National Provider Directory
National Provider DirectoryLocations
9544 W 147th St
Orland Park, IL 60462
Phone (708) 680-6169
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Highland, IN
- NPI 1477541787
-
- Dentist
- Orland Park, IL
- NPI 1477231363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672012800000",
"number": "1407569247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9544 W 147TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9544 W 147TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622502",
"telephone_number": "708-981-3433",
"fax_number": "708-966-0082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANA FAMILY DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A",
"authorized_official_last_name": "RIBA",
"authorized_official_first_name": "HICHAM",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "708-981-3433"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.