Mohannad Musa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035994 Issued in IL

Practice address

981 W South St
Freeport, IL 61032-6778

Phone

(708) 890-4879

NPI assigned

May 26, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Famm Dental PLLC

  • Dental Clinic/Center
  • Woodridge, IL
  • NPI 1679405575
  NPD Authorized official

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1467245175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14546 S APPALOOSA LN",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 W SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326778",
            "telephone_number": "708-890-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSA",
        "first_name": "MOHANNAD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadzanai Mukarakate
• Audrey Mullen, OTR/L
• Kelley Munda, MSED, NCC, LCPC
• Christopher Peter Murdakes, PHARMD.
• Judy A Murphy
• Anthony Musso
• Nancy Nainis
• Syed Sohaib Nasim, MD
• Daniel Neal
• Ashley A Nesemeier, OT

• General Practice Dentistry in Freeport, IL
• Providers in Freeport, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.