Active NPI
Houda T Naayem, D.D.S.
- Dentist
- Redlands, CA
National Provider Identifier
1720518624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019023101
- Practice address
- 27000 W Lugonia Ave Apt 8104
Redlands, CA 92374-2089 - Phone
- (312) 722-0404
- NPI assigned
- Jun 14, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019023101 | IL | Primary |
| General Practice Dentistry | 1223G0001X | 104876 | CA |
Addresses
Primary practice location
27000 W Lugonia Ave Apt 8104
Redlands, CA 92374-2089
Mailing address
27000 W Lugonia Ave Apt 8104
Redlands, CA 92374-2089
Phone (312) 722-0404
Other practice location 1
450 S Weber Rd
Romeoville, IL 60446-6570
Phone (262) 261-0059
Other names 1
- Dr. Houda Tebcherany Naayem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019023101 | IL | MD | Dentist |
| 104876 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Illinois, P.C | General Practice | Past | Accepting new patients |
Interoperability endpoints
- htebcheranynaayem1262752@direct.llu.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Romeoville Smiles Dentistry
- General Practice Dentistry
- Romeoville, IL
- NPI 1992235840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720518624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27000 W LUGONIA AVE APT 8104",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742089",
"telephone_number": "312-722-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27000 W LUGONIA AVE APT 8104",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742089",
"telephone_number": "312-722-0404"
}
],
"practiceLocations": [
{
"address_1": "450 S Weber Rd",
"address_purpose": "LOCATION",
"city": "Romeoville",
"state": "IL",
"postal_code": "604466570",
"country_code": "US",
"telephone_number": "262-261-0059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAAYEM",
"first_name": "HOUDA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019023101",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "104876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOUDA",
"last_name": "TEBCHERANY NAAYEM",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.