Organization Active NPI

Amana Family Dental PC

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1407569247
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Hicham RibaNPI 1477541787
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.