Individual provider Active NPI

Fatima Nasreen Saeed, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lombard, IL
National Provider Identifier
1730633975
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019.030907 Issued in IL
Practice address
121 E Roosevelt Rd
Lombard, IL 60148-4561
Phone
(630) 843-0412
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.030907 IL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 019.030907 IL Primary

Addresses

Primary practice location

121 E Roosevelt Rd
Lombard, IL 60148-4561

Mailing address

1400 Santa Rita Rd Ste a
Pleasanton, CA 94566-5663
Phone (630) 843-0412

Other practice location 1

1400 Santa Rita Rd Ste A
Pleasanton, CA 94566-5663
Phone (925) 223-6027

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
I20241226001478 IL Practitioner - Oral Surgery 9931636362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.030907ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Medical FMR LLC CurrentSince Sep 18, 2024 Accepting new patients
Azam Saeed DMD PC PastSince Sep 21, 2020 Accepting new patients

Locations

1000 Grand Canyon Pkwy
Ste 201
Hoffman Estates, IL 60169
Phone (630) 273-7004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1730633975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665663",
            "telephone_number": "630-843-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-843-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Santa Rita Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945665663",
            "country_code": "US",
            "telephone_number": "925-223-6027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAEED",
        "first_name": "FATIMA",
        "middle_name": "NASREEN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030907",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.030907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.