Individual provider Active NPI

Isra Hamad, D.D.S.

  • Dentist
  • Orland Park, IL
National Provider Identifier
1477904456
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030761 Issued in IL
Practice address
8752 W 159TH St
Orland Park, IL 60462-4891
Phone
(708) 403-3900
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030761 IL Primary

Addresses

Primary practice location

8752 W 159TH St
Orland Park, IL 60462-4891

Mailing address

8752 W 159TH St
Orland Park, IL 60462-4891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 15, 2022 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.030761ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Donna Cozzi DDS & Isra Z Hamad DDS LLC Current Accepting new patients
Orland Park Amazing Dental Dentist Past Accepting new patients
Ramaha Dental Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ihamad19715@direct.midwestern.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1477904456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624891",
            "telephone_number": "708-403-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "ISRA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.