NPIMap

Organization Active NPI

Elite Dentistry

  • Dentist
  • Palatine, IL
National Provider Identifier
1457601866
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028978 Issued in IL
Legal business name
ELITE DENTISTRY
Practice address
2381 N Hicks Rd
Palatine, IL 60074-1806
Phone
(847) 359-9100
Fax
(847) 359-9200
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Mohamed S Waheed, DDS
Title
President
Phone
(847) 359-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019028978 IL Primary

Addresses

Primary practice location

2381 N Hicks Rd
Palatine, IL 60074-1806

Mailing address

2381 N Hicks Rd
Palatine, IL 60074-1806
Phone (847) 359-9100

National Provider Directory

National Provider Directory
Tax ID family
Elite Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1457601866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 N HICKS RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600741806",
            "telephone_number": "847-359-9100",
            "fax_number": "847-359-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 N HICKS RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600741806",
            "telephone_number": "847-359-9100",
            "fax_number": "847-359-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-359-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.