Active NPI
Badia Zahdan, DDS
- General Practice Dentistry
- Orland Park, IL
National Provider Identifier
1437683117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 319.020577
- Practice address
- 15894 S la Grange Rd
Orland Park, IL 60467-5563 - Phone
- (708) 737-5325
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 319.020577 | IL | Primary |
Addresses
Primary practice location
15894 S la Grange Rd
Orland Park, IL 60467-5563
Mailing address
15894 S la Grange Rd
Orland Park, IL 60467-5563
Phone (708) 374-0118
Other practice location 1
10017 Menard Ave
Oak Lawn, IL 60453-3753
Phone (708) 374-0118
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815004594 | IL | Order and Referring Only - Dentist | 3476825100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319.020577 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437683117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15894 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675563",
"telephone_number": "708-374-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15894 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675563",
"telephone_number": "708-737-5325"
}
],
"practiceLocations": [
{
"address_1": "10017 Menard Ave",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604533753",
"country_code": "US",
"telephone_number": "708-374-0118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAHDAN",
"first_name": "BADIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "319.020577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.