Individual provider Active NPI

Abdulrahman Mohammad Alkhatib, DDS

  • Dentist
  • Naperville, IL
National Provider Identifier
1730867136
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.034540 Issued in IL
Practice address
1020 E Ogden Ave Ste 308
Naperville, IL 60563-8611
Phone
(630) 527-0544
NPI assigned
Jul 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.034540 IL Primary

Addresses

Primary practice location

1020 E Ogden Ave Ste 308
Naperville, IL 60563-8611

Mailing address

1020 E Ogden Ave Ste 308
Naperville, IL 60563-8611
Phone (708) 307-1448

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

LicenseStateTypeSpecialty
019.034540ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Abdulrahman Alkhatib, DDS, PLLC CurrentSince Aug 17, 2025 Accepting new patients
Valparaiso Family Dentistry PC PastSince Jul 1, 2023 Accepting new patients
Naperville Dental Group Dentist PastSince Aug 3, 2025 Accepting new patients

Locations

1020 E Ogden Ave
Ste 308
Naperville, IL 60563
Phone (630) 527-0544

Organizations & group practices 3

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1730867136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 308",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638611",
            "telephone_number": "708-307-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 308",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638611",
            "telephone_number": "630-527-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHATIB",
        "first_name": "ABDULRAHMAN",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.034540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.