Enamel Dental Salon PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ENAMEL DENTAL SALON PC

Practice address

3190 N Elston Ave
Chicago, IL 60618-5845

Phone

(773) 564-9916

Fax

(872) 203-9984

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad R Ekhtera, DDSNPI 1114908282

Title

Owner

Phone

(773) 564-9916

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Reza Ekhtera, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1114908282
  NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1497551741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185845",
            "telephone_number": "773-564-9916",
            "fax_number": "872-203-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185845",
            "telephone_number": "773-564-9916",
            "fax_number": "872-203-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAMEL DENTAL SALON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "EKHTERA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-564-9916",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Emuchay, MD
• En Route Counseling and Wellness
• Ibrahim Enab
• Aura Enache, MD
• Enamel Dental
• Nafiah Syeda Enayet, MD
• Zenaida Enchill
• Encinas Medical Center
• Eduardo Jorge Encinas, M.D.
• Encourage Counseling, PLLC

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.