NPIMap

Organization Active NPI

International Dental Center

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1518246735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
INTERNATIONAL DENTAL CENTER
Practice address
305 W Indian TRL
Unit C
Aurora, IL 60506-2400
Phone
(630) 859-8660
Fax
(630) 859-8666
NPI assigned
Aug 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Rabeh Salamah Mohammad, D.D.S
Title
Owner
Phone
(773) 865-2859

Specialties & licenses 1

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

Addresses

Primary practice location

305 W Indian TRL
Unit C
Aurora, IL 60506-2400

Mailing address

305 W Indian TRL
Unit C
Aurora, IL 60506-2400
Phone (630) 859-8660

National Provider Directory

National Provider Directory
Tax ID family
International Dental Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

305 W Indian Trl
Ste C
Aurora, IL 60506
Phone (630) 859-8660

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518246735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W INDIAN TRL",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062400",
            "telephone_number": "630-859-8660",
            "fax_number": "630-859-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W INDIAN TRL",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062400",
            "telephone_number": "630-859-8660",
            "fax_number": "630-859-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "RABEH",
        "authorized_official_middle_name": "SALAMAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-865-2859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.