M Sadrameli DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

M SADRAMELI DMD LLC

Doing business as

Smiles of Naperville

Practice address

3020 Reflection Dr Ste 112
Naperville, IL 60564-9701

Phone

(639) 718-1901

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

M SADRAMELI DMD LLCAs reported in NPPES

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

Authorized official

Name

Dr. Mahtab Sadrameli, DMD

Title

President/Owner

Phone

(415) 336-0767

Specialties & licenses 1

Addresses

Other names 1

• Smiles of Naperville Doing business as

Part of

M Sadrameli DMD LLC

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1568099430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S PRAIRIE AVE APT 4805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 REFLECTION DR STE 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649701",
            "telephone_number": "639-718-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SADRAMELI DMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M SADRAMELI DMD LLC",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "SADRAMELI",
        "authorized_official_first_name": "MAHTAB",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "415-336-0767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Naperville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jaesun Ma, D.C.
• Magdalena Maani, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.