Isaac A Qureshi, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019-029531 Issued in IL

Practice address

1400 W 47TH St Ste 7
La Grange, IL 60525-6148

Phone

(708) 482-4420

Fax

(708) 482-4421

NPI assigned

Jul 29, 2013

Last updated

Nov 28, 2016By the provider in NPPES

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 IL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Smiles of la Grange, PC

  • Dental Clinic/Center
  • La Grange, IL
  • NPI 1750775276
  NPD (past) Authorized official

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1649612839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "UNIT 7",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-482-4420",
            "fax_number": "708-482-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST STE 7",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256148",
            "telephone_number": "708-482-4420",
            "fax_number": "708-482-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "ISAAC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-029531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Presperin Pearson
• Vanessa Prinz, IBCLC
• Psychological Wellness Center, Inc.
• Anthony Fernando Pulex, PT, DPT
• Dianne Frances Quiaoit, PT
• Katherine Frances Sabella Racine, APN, PMHNP-BC
• Robert E Rada, DDS
• Saniah Raheem, DO
• Nishi Varshini Rajesh, DO
• Charmaine Leigh Ramos

• Dentist in La Grange, IL
• Providers in La Grange, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.