Mohammed Ahmed Mahdi Sr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032435 Issued in IL

Practice address

125 S Bloomingdale Rd Ste 9
Bloomingdale, IL 60108-1216

Phone

(630) 924-0800

NPI assigned

Jul 18, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mahdi Dental LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bloomingdale, IL
  • NPI 1477162501
  NPD Authorized official
• Norwalk Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norwalk, CT
  • NPI 1821439084
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1568015568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S BLOOMINGDALE RD STE 9",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081216",
            "telephone_number": "203-969-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BLOOMINGDALE RD STE 9",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081216",
            "telephone_number": "630-924-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDI",
        "first_name": "MOHAMMED",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019032435",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Anthony Maggio, LCSW
• Chloe Mariel Maghinang, MS, CCC-SLP
• Cynthia Elizabeth Magsam, MD
• Ma.Corazon Clarito Magtira
• Mahdi Dental LLC
• Gregory Lee Mahoney, M.A., L.C.P.C.
• Mahrukh Subhani Inc
• Gerald Maida, MD
• Miji P Maliekkal, PHYSICAL THERAPIST
• Phillip Kreg Mallow, DDS

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, 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 Mar 22, 2021; 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.