Active NPI
Mohammed Shaher Ismail, DDS
- Dentist
- Crown Point, IN
National Provider Identifier
1659144632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12014954A
- Practice address
- 698 E Burrell Dr
Crown Point, IN 46307-9000 - Phone
- (219) 662-7668
- NPI assigned
- Nov 1, 2023
- Last updated
- Jun 28, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12014954A | IN | Primary |
Addresses
Primary practice location
698 E Burrell Dr
Crown Point, IN 46307-9000
Mailing address
61 Silo Ridge Rd S
Orland Park, IL 60467-7335
Phone (708) 267-9299
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 |
|---|---|---|---|
| 019034652 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782604800000",
"number": "1659144632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 SILO RIDGE RD S",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604677335",
"telephone_number": "708-267-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 E BURRELL DR",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079000",
"telephone_number": "219-662-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "MOHAMMED",
"middle_name": "SHAHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-01",
"last_updated": "2026-06-28",
"certification_date": "2026-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12014954A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.