East Dental LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019026287 Issued in IL

Legal business name

EAST DENTAL LTD

Practice address

3916 N Cicero Ave
Chicago, IL 60641-2709

Phone

(773) 283-3513

NPI assigned

Nov 1, 2008

Organization subpart

No

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

Authorized official

Name

Ashraf AhmadNPI 1558350793

Title

Owner

Phone

(773) 283-3513

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashraf Ahmad, D.D.S

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1558350793
  NPD (past) Authorized official

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

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1528211778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412709",
            "telephone_number": "773-283-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412709",
            "telephone_number": "773-283-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-283-3513"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005813",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ease Wellness LLC
• Valsa Kurian Easo, BSN
• Paulette R. Eason-Williams, LCPC, CADC
• East Calumet Health Services Inc.
• East Calumet Helath Services Inc
• East Erie Dental
• East Erie Dental Associates, P.C.
• East Oaks Dialysis LLC
• East Point Associates, LTD.
• East Village Dental Centre

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.