Ahmad Noweder, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030975 Issued in IL

Practice address

10 W Phillip Rd Ste 105
Vernon Hills, IL 60061-1730

Phone

(847) 680-7171

Fax

(224) 788-8667

NPI assigned

Jun 13, 2016

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Deerpath Dental Specialist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vernon Hills, IL
  • NPI 1174612451
  NPD (past)
• Dental Professionals of Illinois, P.C

  dba Redwing Dental Care

  • General Practice Dentistry
  • Antioch, IL
  • NPI 1457817983
  NPD (past)
• Jeffrey T. Cohen D.D.S. P.C.

  dba Metro Square Dental Associates

  • General Practice Dentistry
  • Vernon Hills, IL
  • NPI 1861581142
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1538519368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD STE 105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611730",
            "telephone_number": "847-680-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD STE 105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611730",
            "telephone_number": "847-680-7171",
            "fax_number": "224-788-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7034 W North Ave Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "607074306",
            "country_code": "US",
            "telephone_number": "773-889-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWEDER",
        "first_name": "AHMAD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001335-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Marion Nora, APN, NP-C
• North Suburban Family Healthcare S.C.
• Northshore RX Med Supplies & Services LLC
• Northshore TMS, SC
• Nova Medical & Clinic Services LLC
• Kaitlynn Nykiel
• Kathleen O'Donnell, SLP
• Anna Sophia O'Halloran, DT
• Esther Elizabeth Ochoa Cervantes
• Brena Oh, SLP

• General Practice Dentistry in Vernon Hills, IL
• Providers in Vernon Hills, 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 Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.