Active NPI
Misbah Muzaffer, DDS
- General Practice Dentistry
- Roselle, IL
National Provider Identifier
1497324685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.033191
- Practice address
- 1530 Lake St
Roselle, IL 60172-3330 - Phone
- (630) 529-0900
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.033191 | IL | Primary |
Addresses
Primary practice location
1530 Lake St
Roselle, IL 60172-3330
Mailing address
1530 Lake St
Roselle, IL 60172-3330
Phone (630) 529-0900
Other practice location 1
890 N Roselle Rd
Hoffman Estates, IL 60169-1850
Phone (224) 228-3494
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033191 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1497324685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 LAKE ST",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723330",
"telephone_number": "630-529-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 LAKE ST",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601723330",
"telephone_number": "630-529-0900"
}
],
"practiceLocations": [
{
"address_1": "890 N Roselle Rd",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601691850",
"country_code": "US",
"telephone_number": "224-228-3494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUZAFFER",
"first_name": "MISBAH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-09-30",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.033191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.