Lutfi Nassar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.031000 Issued in IL

Practice address

1425 McHenry Rd Ste 211
Buffalo Grove, IL 60089-1332

Phone

(847) 913-5560

Fax

(847) 913-5561

NPI assigned

May 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• DCP of Illinois (Vernon Hills), LTD

  • General Practice Dentistry
  • Vernon Hills, IL
  • NPI 1144476375
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1629489208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MCHENRY RD STE 211",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891332",
            "telephone_number": "847-913-5560",
            "fax_number": "847-913-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MCHENRY RD STE 211",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891332",
            "telephone_number": "847-913-5560",
            "fax_number": "847-913-5561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E Townline Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611552",
            "country_code": "US",
            "telephone_number": "847-367-7119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "LUTFI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelima Nagpal
• Mini Nair, M.D.
• Priya Nair, PT
• Peter J Nani, MD
• Ivan Narkevitch, L.AC.
• Natalya Nagornaya DDS PC
• Natural Education of Wellness, P.C.
• Jasenia Navarro
• Peter S Nelson, O.D
• Susan E Nelson, M.D.

• Dentist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.