Organization Active NPI

Dental Magic of Niles

  • General Practice Dentistry
  • Niles, IL
National Provider Identifier
1417215484
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024373 Issued in IL
Legal business name
DENTAL MAGIC OF NILES
Practice address
5622 W Touhy Ave
Niles, IL 60714-4001
Phone
(773) 360-1281
Fax
(773) 360-1285
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Hicham K Riba, DDS
Title
Owner
Phone
(773) 360-1281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019024373 IL Primary

Addresses

Primary practice location

5622 W Touhy Ave
Niles, IL 60714-4001

Mailing address

5622 W Touhy Ave
Niles, IL 60714-4001
Phone (773) 360-1281

National Provider Directory

National Provider Directory

Locations

5622 W Touhy Ave
Niles, IL 60714
Phone (773) 360-1281

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1417215484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144001",
            "telephone_number": "773-360-1281",
            "fax_number": "773-360-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144001",
            "telephone_number": "773-360-1281",
            "fax_number": "773-360-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MAGIC OF NILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "RIBA",
        "authorized_official_first_name": "HICHAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-360-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.