Organization Active NPI

Optimal Dental Partnership

  • General Practice Dentistry
  • Tinley Park, IL
National Provider Identifier
1720259831
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OPTIMAL DENTAL PARTNERSHIP
Practice address
15916 Harlem Ave
Tinley Park, IL 60477-1610
Phone
(708) 802-6990
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Mohammed Rahima, DDS, MS, PHD
Title
Dentist
Phone
(708) 802-6990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

15916 Harlem Ave
Tinley Park, IL 60477-1610

Mailing address

15916 Harlem Ave
Tinley Park, IL 60477-1610
Phone (708) 802-6990

National Provider Directory

National Provider Directory

Locations

15916 Harlem Ave
Tinley Park, IL 60477
Phone (708) 802-6990

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1720259831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15916 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771610",
            "telephone_number": "708-802-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771610",
            "telephone_number": "708-802-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RAHIMA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-802-6990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.