Organization Active NPI

Nader Amiran DMD Inc.

  • Dentist
  • Downers Grove, IL
National Provider Identifier
1679342190
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NADER AMIRAN DMD INC.
Practice address
6224 Main St
Downers Grove, IL 60516-1900
Phone
(630) 963-1458
NPI assigned
Dec 26, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nader Amiran
Title
Owner
Phone
(312) 912-3171

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

6224 Main St
Downers Grove, IL 60516
Phone (630) 963-1458

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

6224 Main St
Downers Grove, IL 60516-1900

Mailing address

6224 Main St
Downers Grove, IL 60516-1900
Phone (630) 963-1458

Other names 1

NPPES NPI Registry
  • AIRE Family Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2023.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1679342190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161900",
            "telephone_number": "630-963-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161900",
            "telephone_number": "630-963-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER AMIRAN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "AMIRAN",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-912-3171"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIRE Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.