Mahdi Dental LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MAHDI DENTAL LLC

Practice address

125 S Bloomingdale Rd Ste 9
Bloomingdale, IL 60108-1216

Phone

(203) 969-4248

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Mahdi, DMD , MSNPI 1568015568

Title

Dr / Owner

Phone

(203) 969-4248

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Ahmed Mahdi Sr.

  • General Practice Dentistry
  • Bloomingdale, IL
  • NPI 1568015568

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1477162501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S BLOOMINGDALE RD STE 9",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081216",
            "telephone_number": "203-969-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BLOOMINGDALE RD STE 9",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081216",
            "telephone_number": "203-969-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHDI DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "MAHDI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DR / OWNER",
        "authorized_official_telephone_number": "203-969-4248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD , MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Magazzu, LPC
• Francis Anthony Maggio, LCSW
• Chloe Mariel Maghinang, MS, CCC-SLP
• Cynthia Elizabeth Magsam, MD
• Ma.Corazon Clarito Magtira
• Mohammed Ahmed Mahdi Sr.
• Gregory Lee Mahoney, M.A., L.C.P.C.
• Mahrukh Subhani Inc
• Gerald Maida, MD
• Miji P Maliekkal, PHYSICAL THERAPIST

• Orthodontics and Dentofacial Orthopedics Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.