Individual provider Active NPI

Hammad T. Aziz, D.D.S.

  • General Practice Dentistry
  • North Aurora, IL
National Provider Identifier
1659583524
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024782 Issued in IL
Practice address
601 Randall Crossing LN
North Aurora, IL 60542-5009
Phone
(630) 907-1112
NPI assigned
May 4, 2007
Reactivated
Feb 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 019024782 IL Primary

Addresses

Primary practice location

601 Randall Crossing LN
North Aurora, IL 60542-5009

Mailing address

601 Randall Crossing LN
North Aurora, IL 60542-5009
Phone (630) 907-1112

Other identifiers 2

IdentifierTypeStateIssuer
1851519789OtherILOFFICE NPI
1659583524OtherILINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160930002115 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123315348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Aurora Smiles, P.C. General Practice CurrentSince Nov 29, 2020 Accepting new patients

Locations

601 Randall Crossing Ln
North Aurora, IL 60542
Phone (630) 907-1112

1133 Oak St
North Aurora, IL 60542
Phone (630) 907-1112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1659583524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RANDALL CROSSING LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425009",
            "telephone_number": "630-907-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RANDALL CROSSING LN",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425009",
            "telephone_number": "630-907-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "HAMMAD",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "deactivation_date": "2009-09-10",
        "reactivation_date": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE NPI",
            "identifier": "1851519789",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659583524",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

Verify at the official NPI Registry.