Active NPI
Alaa Ashouri, DMD
- Dentist
- Oak Forest, IL
National Provider Identifier
1417820101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019036124
- Practice address
- 15711 Peggy LN Apt 3
Oak Forest, IL 60452-3191 - Phone
- (310) 886-9525
- NPI assigned
- Sep 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019036124 | IL | Primary |
Addresses
Primary practice location
15711 Peggy LN Apt 3
Oak Forest, IL 60452-3191
Mailing address
15711 Peggy LN Apt 3
Oak Forest, IL 60452-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019036124 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1417820101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15711 PEGGY LN APT 3",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604523191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15711 PEGGY LN APT 3",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604523191",
"telephone_number": "310-886-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHOURI",
"first_name": "ALAA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019036124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
- Sompongse - Angspatt, M.D.
- Suzanne Ankarlo
- Arbor Park School District 145
- Jean Adele Arola, C.T.R.S., B.S
- Susan Caroline Mangrobang Arreola, M.D.
- Khadija Ashraf, PHARM.D.
- Aunt Martha'S Youth Service Center
- Aunt Martha'S Youth Service Center
- Aunt Martha'S Youth Service Center, Inc
- Aunt Martha'S Youth Service Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.