Individual provider Active NPI

Zainab Wilson, DDS

  • Dentist
  • Oak Park, IL
National Provider Identifier
1548674740
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029944 Issued in IL
Practice address
312 Madison St
Oak Park, IL 60302-4833
Phone
(708) 383-2992
Fax
(708) 383-4540
NPI assigned
Jun 16, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029944 IL Primary

Addresses

Primary practice location

312 Madison St
Oak Park, IL 60302-4833

Mailing address

312 Madison St
Oak Park, IL 60302-4833
Phone (708) 383-2992

Other practice location 1

1160 El Paseo Rd
D-1
Las Cruces, NM 88001-6045
Phone (888) 988-4066

Other names 1

  • Dr. Zainab Muhammad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150608001258 IL Order and Referring Only - DentistPractitioner - Dentist 6800117458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029944ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
MW Dental LLC CurrentSince Jul 24, 2022 Accepting new patients
Absolute Dental Care Dentist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548674740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024833",
            "telephone_number": "708-383-2992",
            "fax_number": "708-383-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024833",
            "telephone_number": "708-383-2992",
            "fax_number": "708-383-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 El Paseo Rd",
            "address_2": "D-1",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880016045",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ZAINAB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAINAB",
            "last_name": "MUHAMMAD",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.