NPIMap

Organization Active NPI

Reem Obaisi, DDS, PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1508146580
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027619 Issued in IL
Legal business name
REEM OBAISI, DDS, PC
Practice address
1629 S Prairie Ave
Unit 2307
Chicago, IL 60616-4403
Phone
(217) 871-0411
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Reem Obaisi
Title
President
Phone
(217) 871-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019027619 IL Primary

Addresses

Primary practice location

1629 S Prairie Ave
Unit 2307
Chicago, IL 60616-4403

Mailing address

1629 S Prairie Ave
Unit 2307
Chicago, IL 60616-4403

National Provider Directory

National Provider Directory
Tax ID family
Reem Obaisi DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1508146580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 S PRAIRIE AVE",
            "address_2": "UNIT 2307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 S PRAIRIE AVE",
            "address_2": "UNIT 2307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164403",
            "telephone_number": "217-871-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEM OBAISI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "OBAISI",
        "authorized_official_first_name": "REEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-871-0411"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027619",
            "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 Aug 23, 2011; 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.