Asim Awan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011103A Issued in IN

Practice address

2812 Hassert Blvd Ste 104
Naperville, IL 60564-5826

Phone

(312) 480-8720

NPI assigned

Feb 13, 2008

Last updated

Jul 21, 2022By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• Asim Awan DDS PC

  dba Tic Tac Tooth Pediatric Dentistry

  • Dentist
  • Naperville, IL
  • NPI 1972740991
  NPD Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417125345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 GREEN BRIDGE LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332930",
            "telephone_number": "312-480-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 HASSERT BLVD STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645826",
            "telephone_number": "312-480-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8845 Boehning Ln",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462191974",
            "country_code": "US",
            "telephone_number": "317-899-1112",
            "fax_number": "317-899-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWAN",
        "first_name": "ASIM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naidelyn Avila
• Heather A Aviles, MA ATR LPC
• Avonlea Counseling LLC
• Avs Home Health Inc.
• Avs Senior Care Inc.
• Aya Life Therapy PLLC
• Laura Joana Ayala, SLP
• Hifza Ayaz
• Yehia Ayesh Ayesh
• Arkady Ayngorn, M.D.

• Dentist in Naperville, IL
• Providers in Naperville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.