Active NPI
Moayad Saleh Alomar, D.M.D.
- Endodontics
- Arlington Heights, IL
National Provider Identifier
1649508276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 021002315
- Practice address
- 605 E Algonquin Rd
Ste 300
Arlington Heights, IL 60005-4373 - Phone
- (847) 640-1112
- Fax
- (847) 510-0548
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027896 | IL | |
| Endodontics | 1223E0200X | 021002315 | IL | Primary |
Addresses
Primary practice location
605 E Algonquin Rd
Ste 300
Arlington Heights, IL 60005-4373
Mailing address
605 E Algonquin Rd
Ste 300
Arlington Heights, IL 60005-4373
Phone (847) 640-1112
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019027896 | IL | MD | Dentist |
| 021002315 | IL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1649508276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E ALGONQUIN RD",
"address_2": "STE 300",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600054373",
"telephone_number": "847-640-1112",
"fax_number": "847-510-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E ALGONQUIN RD",
"address_2": "STE 300",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600054373",
"telephone_number": "847-640-1112",
"fax_number": "847-510-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALOMAR",
"first_name": "MOAYAD",
"middle_name": "SALEH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027896",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "021002315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.