Individual provider Active NPI

Ahmed M Hegazy, BDS.DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1487211694
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.032103 Issued in IL
Practice address
7250 S Cicero Ave
Chicago, IL 60629-5849
Phone
(708) 496-8896
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.032103 IL Primary

Addresses

Primary practice location

7250 S Cicero Ave
Chicago, IL 60629-5849

Mailing address

1629 S Prairie Ave Unit 902
Chicago, IL 60616-5058
Phone (646) 270-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.032103ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Concepts LLC General Practice Current Accepting new patients
D&D Dental,LLC CurrentSince Jun 6, 2021 Accepting new patients

Organizations & group practices 2

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1487211694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 S PRAIRIE AVE UNIT 902",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165058",
            "telephone_number": "646-270-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295849",
            "telephone_number": "708-496-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGAZY",
        "first_name": "AHMED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "BDS.DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.