NPIMap

Organization Active NPI

Dr Alamdar H Bader DDS PC

  • Dentist
  • Chicago, IL
National Provider Identifier
1639616030
Registry record updated Jan 23, 2017
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020210 Issued in IL
Legal business name
DR ALAMDAR H BADER DDS PC
Practice address
654 E 47TH St
Chicago, IL 60653-4224
Phone
(773) 624-5800
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Alamdar Bader, DDS
Title
President
Phone
(708) 308-5836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019020210 IL Primary

Addresses

Primary practice location

654 E 47TH St
Chicago, IL 60653-4224

Mailing address

654 E 47TH St
Chicago, IL 60653-4224
Phone (773) 624-5800

Other identifiers 1

IdentifierTypeStateIssuer
019020210MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1639616030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534224",
            "telephone_number": "773-624-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534224",
            "telephone_number": "773-624-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALAMDAR H BADER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "ALAMDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-308-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019020210",
            "state": "IL"
        }
    ],
    "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 Jan 23, 2017; 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.