Active NPI
Joud Alabyad
- Dentist
- Highland, IN
National Provider Identifier
1558054452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.034401
- Practice address
- 8731 Indianapolis Blvd
Highland, IN 46322-1551 - Phone
- (219) 966-9600
- NPI assigned
- May 29, 2023
- Last updated
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.034401 | IL | Primary |
Addresses
Primary practice location
8731 Indianapolis Blvd
Highland, IN 46322-1551
Mailing address
111 Oak Ridge Dr E
Burr Ridge, IL 60527-6869
Phone (630) 632-6098
Other practice location 1
9544 W 147th St
Orland Park, IL 60462-2502
Phone (708) 680-6169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034401 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Zone Associates LLC | Current | Accepting new patients |
Locations
8731 Indianapolis Blvd
Highland, IN 46322
Phone (219) 836-3344
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Highland, IN
- NPI 1093497794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1558054452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAK RIDGE DR E",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276869",
"telephone_number": "630-632-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8731 INDIANAPOLIS BLVD",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221551",
"telephone_number": "219-966-9600"
}
],
"practiceLocations": [
{
"address_1": "9544 W 147th St",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604622502",
"country_code": "US",
"telephone_number": "708-680-6169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALABYAD",
"first_name": "JOUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.034401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.