Individual provider Active NPI

Dalia Waia, DDS, MS

  • Prosthodontics
  • Schaumburg, IL
National Provider Identifier
1417727827
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
019.034701 Issued in IL
Practice address
1300 E Woodfield Rd Ste 110
Schaumburg, IL 60173-4908
Phone
(847) 230-9911
NPI assigned
Jan 5, 2024
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 019.034701 IL Primary

Addresses

Primary practice location

1300 E Woodfield Rd Ste 110
Schaumburg, IL 60173-4908

Mailing address

125 S Jefferson St Unit 3001
Chicago, IL 60661-3728
Phone (312) 590-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124002028 IL Order and Referring Only - DentistPractitioner - Dentist 1658724885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019.034701ILMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1417727827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S JEFFERSON ST UNIT 3001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613728",
            "telephone_number": "312-590-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E WOODFIELD RD STE 110",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734908",
            "telephone_number": "847-230-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIA",
        "first_name": "DALIA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019.034701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.