Organization Active NPI

Ardeshir Raghian DDS PC

  • Dentist
  • Chicago, IL
National Provider Identifier
1417354093
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019024426 Issued in IL
Legal business name
ARDESHIR RAGHIAN DDS PC
Practice address
5841 W Belmont Ave
Chicago, IL 60634-5201
Phone
(773) 622-3454
Fax
(773) 622-0990
NPI assigned
Nov 26, 2014
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Ardeshir Raghian, DDSNPI 1265504617
Title
Dentist
Phone
(773) 622-3454

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019024426 IL Primary

Addresses

Primary practice location

5841 W Belmont Ave
Chicago, IL 60634-5201

Mailing address

5841 W Belmont Ave
Chicago, IL 60634-5201
Phone (773) 622-3454

National Provider Directory

National Provider Directory

Locations

723 Elm St
Ste 21
Winnetka, IL 60093

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1417354093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345201",
            "telephone_number": "773-622-3454",
            "fax_number": "773-622-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345201",
            "telephone_number": "773-622-3454",
            "fax_number": "773-622-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDESHIR RAGHIAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "RAGHIAN",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-622-3454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.