Individual provider Active NPI

Muath A Daralsheikh

  • General Practice Dentistry
  • Schererville, IN
National Provider Identifier
1508551904
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019034263 Issued in IL
Practice address
322 Indianapolis Blvd Ste 106
Schererville, IN 46375-4204
Phone
(219) 244-6643
NPI assigned
Apr 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 019034263 IL Primary

Addresses

Primary practice location

322 Indianapolis Blvd Ste 106
Schererville, IN 46375-4204

Mailing address

322 Indianapolis Blvd Ste 106
Schererville, IN 46375-4204
Phone (219) 244-6643

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
019034263ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Crafters Dental Studio P.C CurrentSince Sep 3, 2025 Accepting new patients

Locations

2646 Lois St
Portage, IN 46368
Phone (219) 762-3010

Organizations & group practices 1

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": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1508551904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 INDIANAPOLIS BLVD STE 106",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463754204",
            "telephone_number": "219-244-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 INDIANAPOLIS BLVD STE 106",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463754204",
            "telephone_number": "219-244-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARALSHEIKH",
        "first_name": "MUATH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.