Individual provider Active NPI

Mays Husam Al-Saffar

  • General Practice Dentistry
  • Round Lake Beach, IL
National Provider Identifier
1629535158
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032530 Issued in IL
Practice address
825 E Rollins Rd
Round Lake Beach, IL 60073-2244
Phone
(617) 989-3242
NPI assigned
Feb 20, 2019
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032530 IL Primary

Addresses

Primary practice location

825 E Rollins Rd
Round Lake Beach, IL 60073-2244

Mailing address

2 Avalon Dr Unit 2518
Quincy, MA 02169-2474
Phone (312) 610-2898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20220516002223 MA Order and Referring Only - DentistPractitioner - Dentist 1850778796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019032530ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1629535158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVALON DR UNIT 2518",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692474",
            "telephone_number": "312-610-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732244",
            "telephone_number": "617-989-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SAFFAR",
        "first_name": "MAYS",
        "middle_name": "HUSAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake Beach, IL

Sources for this page

Verify at the official NPI Registry.