Individual provider Active NPI

Alisa Becirspahic, D.M.D.

  • Dentist
  • Schaumburg, IL
National Provider Identifier
1699964965
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2007023507 Issued in MO
Practice address
18 E Golf Rd
Schaumburg, IL 60173-3725
Phone
(847) 882-2012
Fax
(847) 882-2041
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2007023507 MO Primary

Addresses

Primary practice location

18 E Golf Rd
Schaumburg, IL 60173-3725

Mailing address

18 E Golf Rd
Schaumburg, IL 60173-3725
Phone (847) 882-2012

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
I20160315000594 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931405115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007023507MOMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1699964965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733725",
            "telephone_number": "847-882-2012",
            "fax_number": "847-882-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733725",
            "telephone_number": "847-882-2012",
            "fax_number": "847-882-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECIRSPAHIC",
        "first_name": "ALISA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2007023507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.