Optimal Dental Tinley PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OPTIMAL DENTAL TINLEY PC

Practice address

15916 Harlem Ave
Suite J3
Tinley Park, IL 60477-1610

Phone

(708) 802-6990

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Ahmed Mataria, DDS

Title

Owner

Phone

(708) 543-0795

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1649589755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15916 HARLEM AVE",
            "address_2": "SUITE J3",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771610",
            "telephone_number": "708-802-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 HARLEM AVE",
            "address_2": "SUITE J3",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771610",
            "telephone_number": "708-802-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL DENTAL TINLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "MATARIA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-543-0795",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Advanced MRI of Tinley Park, LLC
• Sharon Opon, PT
• Optech Orthotics & Prosthetics
• Optimal Dental Associates, LLC
• Optimal Dental Partnership
• Victoria Oreilly
• Areli Ortega Rodriguez
• Madyson Orth
• Joseph Ortigara, PT
• Jocelyn Ortiz Madrigal

• Dentist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.