NPIMap

Organization Active NPI

Orland Square Universal Dental LLC

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1497096630
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ORLAND SQUARE UNIVERSAL DENTAL LLC
Practice address
10 Orland Square Dr
Orland Park, IL 60462-3207
Phone
(708) 301-1100
Fax
(708) 966-2069
NPI assigned
Mar 13, 2013
Organization subpart
Yes
Parent organization
RAMAHA DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Ahmed Ramaha, DDS
Title
Owner
Phone
(708) 301-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10 Orland Square Dr
Orland Park, IL 60462-3207

Mailing address

10 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 301-1100

National Provider Directory

National Provider Directory
Tax ID family
Orland Square Universal Dental LLC2 organizations share this tax ID, including this one
Part of
Ramaha Dental

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1497096630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ORLAND SQUARE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-301-1100",
            "fax_number": "708-966-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ORLAND SQUARE DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-301-1100",
            "fax_number": "708-966-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND SQUARE UNIVERSAL DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAMAHA  DENTAL PC",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-301-1100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.