Neethara Abraham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.035167 Issued in IL

Practice address

1726 W 18TH St
Chicago, IL 60608-3994

Phone

(312) 733-7454

NPI assigned

Jun 25, 2024

Sex

Female

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

Locations

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.

• Dental Care of Naperville

  • Dentist
  • Naperville, IL
  • NPI 1114395845
  NPD
• Hussain S Ali DDS LLC

  • Dentist
  • Chicago, IL
  • NPI 1780090878
  NPD (past)
• Salih Dental Center

  • Dentist
  • Chicago, IL
  • NPI 1437326188
  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1679317481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 LEGACY DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605021368",
            "telephone_number": "630-853-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083994",
            "telephone_number": "312-733-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "NEETHARA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Abraham
• Jeneson J Abraham, P.A.
• Johny Abraham
• Maducolil Mathai Abraham, LCSW, ACSW
• Mohan C. Abraham, MD
• Pheba Marin Abraham, DMD
• Preethi Abraham
• Rana Rose Abraham, M.D., M.S.
• Rebecca Abraham
• Rebecca Abraham, PA-C

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.