Prestige Dental P C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRESTIGE DENTAL P C

Practice address

125 E Irving Park Rd
Streamwood, IL 60107-2950

Phone

(630) 213-0682

Fax

(630) 213-0685

NPI assigned

Dec 29, 2007

Organization subpart

No

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

Authorized official

Name

Moeen Ikram, DDSNPI 1730160979

Title

President

Phone

(630) 213-0666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Moeen Ikram, DDS

  • General Practice Dentistry
  • Streamwood, IL
  • NPI 1730160979
  NPD (past) Authorized official
• Rafia Nawab Jabeen, DMD

  • Dentist
  • Summit, IL
  • NPI 1023889466
  NPD (past)
• Sara Sarrafee, DDS

  • Dentist
  • Streamwood, IL
  • NPI 1023425816
  NPD (past)
• Prasudha Sunkara

  • Dentist
  • Rolling Meadows, IL
  • NPI 1184174203
  NPD (past)

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198886400000",
    "number": "1710162581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072950",
            "telephone_number": "630-213-0682",
            "fax_number": "630-213-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072950",
            "telephone_number": "630-213-0682",
            "fax_number": "630-213-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE DENTAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2007-12-29",
        "status": "A",
        "authorized_official_last_name": "IKRAM",
        "authorized_official_first_name": "MOEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-213-0666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plan B Optics, PC
• Anna Plecha, LCPC
• Poldek Family Dental
• Post-Acute Physicians of Illinois LLC
• Raihan Shafi Pothigara, PHARMD
• Primary Eye Care, LTD.
• William Puga, M.D.
• Megan Punzalan
• Estela J. Ramos
• Tracie Lyn Rankins

• Dental Clinic/Center in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2007; 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.