Basem Rashad, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019033983 Issued in IL

Practice address

939 W North Ave Ste 890
Chicago, IL 60642-8683

Phone

(609) 510-9050

NPI assigned

Oct 17, 2022

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• After Dark Dental, PLLC

  • Dental Clinic/Center
  • New York, NY
  • NPI 1447176979
  Authorized official Same address or phone

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1508582982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 890",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606428683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 890",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606428683",
            "telephone_number": "609-510-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHAD",
        "first_name": "BASEM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13572",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019033983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Rasberry
• Gabriela Rascati, LCSW
• Megan Rascher Sullivan, SLP
• Jacquelyn Raschke
• Megan Elizabeth Rascius, DMD
• Khaled M Rashad, P.T,DPT,OCS
• Rosalina Ann Rashad
• Hannah Rashdan, MD, MS
• Mohammad Zaidoun Rashdan, M.D
• Bose G Rasheed

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.