Individual provider Active NPI

Saad Habeeb

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1649617135
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021575 Issued in IL
Practice address
2836 W Devon Ave
Chicago, IL 60659-1513
Phone
(773) 338-7565
Fax
(773) 338-7565
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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 019021575 IL Primary

Addresses

Primary practice location

2836 W Devon Ave
Chicago, IL 60659-1513

Mailing address

2836 W Devon Ave
Chicago, IL 60659-1513
Phone (773) 338-7565

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

LicenseStateTypeSpecialty
019021575ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M-L Dental Clinic Inc Past Accepting new patients
Smile360Chicago PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1649617135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591513",
            "telephone_number": "773-338-7565",
            "fax_number": "773-338-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591513",
            "telephone_number": "773-338-7565",
            "fax_number": "773-338-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABEEB",
        "first_name": "SAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021575",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 24, 2013; 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.