NPIMap

Organization Active NPI

Mustapha Hotait DDS PC

Doing business as dolton dental

  • General Practice Dentistry
  • Dolton, IL
National Provider Identifier
1689976540
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028105 Issued in IL
Legal business name
MUSTAPHA HOTAIT DDS PC
Doing business as
dolton dental
Practice address
1350 E Sibley Blvd
Suite # 302
Dolton, IL 60419-2965
Phone
(708) 849-4644
Fax
(708) 849-4735
NPI assigned
Nov 29, 2010
Last updated
Dec 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mustapha Hotait, DDSNPI 1518199850
Title
Dentist
Phone
(708) 849-4644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019028105 IL Primary

Addresses

Primary practice location

1350 E Sibley Blvd
Suite # 302
Dolton, IL 60419-2965

Mailing address

1350 E Sibley Blvd
Ste 302
Dolton, IL 60419-2965
Phone (708) 849-4644

Other names 1

  • dolton dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dolton Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1350 E Sibley Blvd
Ste 302
Dolton, IL 60419
Phone (708) 849-4644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1689976540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E SIBLEY BLVD",
            "address_2": "STE 302",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192965",
            "telephone_number": "708-849-4644",
            "fax_number": "708-849-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E SIBLEY BLVD",
            "address_2": "SUITE # 302",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192965",
            "telephone_number": "708-849-4644",
            "fax_number": "708-849-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAPHA HOTAIT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "HOTAIT",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-849-4644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dolton dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.