Individual provider Active NPI

Mohammed Salih, DDS

  • Prosthodontics
  • Chicago, IL
National Provider Identifier
1578047882
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
019019186 Issued in IL
Practice address
4408 W Lawrence Ave Ste 2
Chicago, IL 60630-2511
Phone
(773) 703-2287
Fax
(773) 337-1228
NPI assigned
Sep 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 019019186 IL Primary

Addresses

Primary practice location

4408 W Lawrence Ave Ste 2
Chicago, IL 60630-2511

Mailing address

4408 W Lawrence Ave Ste 2
Chicago, IL 60630-2511
Phone (773) 703-2287

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

LicenseStateTypeSpecialty
019019186ILMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1578047882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 W LAWRENCE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302511",
            "telephone_number": "773-703-2287",
            "fax_number": "773-337-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 W LAWRENCE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302511",
            "telephone_number": "773-703-2287",
            "fax_number": "773-337-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIH",
        "first_name": "MOHAMMED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019019186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.