NPIMap

Organization Active NPI

Ekram K. Saeed, DMD, PC

  • Dentist
  • Rockford, IL
National Provider Identifier
1487098075
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-023618 Issued in IL
Legal business name
EKRAM K. SAEED, DMD, PC
Practice address
3020 Charles St
Rockford, IL 61108-1758
Phone
(815) 399-5181
Fax
(815) 399-1721
NPI assigned
Apr 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Dr. Ekram K Saeed, DMD, PCNPI 1528289626
Title
Dentist
Phone
(815) 399-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019-023618 IL Primary

Addresses

Primary practice location

3020 Charles St
Rockford, IL 61108-1758

Mailing address

3020 Charles St
Rockford, IL 61108-1758
Phone (815) 399-5181

Other identifiers 1

IdentifierTypeStateIssuer
1528289626OtherILNPI

Other names 1

  • Charles Street Dental Other name

National Provider Directory

National Provider Directory

Locations

3020 Charles St
Rockford, IL 61108
Phone (815) 399-5181

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1487098075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081758",
            "telephone_number": "815-399-5181",
            "fax_number": "815-399-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081758",
            "telephone_number": "815-399-5181",
            "fax_number": "815-399-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKRAM K. SAEED, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "EKRAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-399-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-023618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528289626",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Street Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.