Active NPI
Omar Alramli
- Dentist
- Westmont, IL
National Provider Identifier
1477969558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029920
- Practice address
- 740 Fairfield CT
Westmont, IL 60559-2082 - Phone
- (630) 379-6157
- NPI assigned
- Jul 9, 2014
- Last updated
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019029920 | IL | Primary |
Addresses
Primary practice location
740 Fairfield CT
Westmont, IL 60559-2082
Mailing address
740 Fairfield CT
Westmont, IL 60559-2082
Phone (630) 379-6157
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151124002646 | IL | Order and Referring Only - Other (Non-Physician) | 3678873528 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029920 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1477969558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 FAIRFIELD CT",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592082",
"telephone_number": "630-379-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 FAIRFIELD CT",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592082",
"telephone_number": "630-379-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALRAMLI",
"first_name": "OMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.