NPIMap

Organization Active NPI

International Dental Center

  • Point of Service
  • Joliet, IL
National Provider Identifier
1750518502
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
019023066 Issued in IL
Legal business name
INTERNATIONAL DENTAL CENTER
Practice address
18 S Larkin Ave
Joliet, IL 60436-1244
Phone
(815) 730-1570
NPI assigned
Jun 19, 2009
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Dr. Rabeh Salamah-Moahammad, DDS
Title
President
Phone
(773) 227-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 019023066 IL Primary

Addresses

Primary practice location

18 S Larkin Ave
Joliet, IL 60436-1244

Mailing address

18 S Larkin Ave
Joliet, IL 60436-1244
Phone (815) 730-1570

National Provider Directory

National Provider Directory
Tax ID family
International Dental Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1750518502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361244",
            "telephone_number": "815-730-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361244",
            "telephone_number": "815-730-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "SALAMAH-MOAHAMMAD",
        "authorized_official_first_name": "RABEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-227-1245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "019023066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.