Assad Qasim, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019032076 Issued in IL

Practice address

3065 N Perryville Rd Unit 125
Rockford, IL 61114-8036

Phone

(815) 637-2273

NPI assigned

May 30, 2019

Sex

Male

Sole proprietor

No

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

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.

• Lifetime Dental Care of Illinois, PC

  dba Dental Group of Rockford

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1902028178
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1619535168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HUMES RD STE 150",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450742",
            "telephone_number": "608-563-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 N PERRYVILLE RD UNIT 125",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148036",
            "telephone_number": "815-637-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Humes Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535450742",
            "country_code": "US",
            "telephone_number": "608-563-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QASIM",
        "first_name": "ASSAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002070",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel M Pycior, FNP-BC
• Patrick J Pyka, MPT
• Edward C Pyun Jr., MD
• Richard J. Pyzynski, D.D.S.
• Abdulmateen Qaisar, CRNA
• Zaher Qassem, MD
• Zeeshan Qazi, MD
• QKM Corp
• Syed Parvez Quadri, MD
• Syeda Asma Quadri, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.