Organization Active NPI

Haider W Aljewari DMD Ms PLLC

  • Periodontics
  • Champaign, IL
National Provider Identifier
1679416275
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
HAIDER W ALJEWARI DMD MS PLLC
Doing business as
CHAMPAIGN PERIODONTICS & DENTAL IMPLANT CENTER
Practice address
3002 Crossing CT
Champaign, IL 61822-6135
Phone
(217) 398-4867
NPI assigned
Apr 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haider Aljewari, DMD, MSNPI 1245686724
Title
Employee
Phone
(956) 414-5979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3002 Crossing CT
Champaign, IL 61822-6135

Mailing address

2514 Fields South Dr Apt 206
Champaign, IL 61822-3724
Phone (956) 414-5979

Other names 1

  • CHAMPAIGN PERIODONTICS & DENTAL IMPLANT CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

3002 Crossing Ct
Champaign, IL 61822
Phone (217) 398-4594

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1679416275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 FIELDS SOUTH DR APT 206",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223724",
            "telephone_number": "956-414-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 CROSSING CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226135",
            "telephone_number": "217-398-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIDER W ALJEWARI DMD MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "ALJEWARI",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "956-414-5979",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPAIGN PERIODONTICS & DENTAL IMPLANT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.