NPIMap

Organization Active NPI

International Dental Center

  • General Practice Dentistry
  • Joliet, IL
National Provider Identifier
1750694824
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023066 Issued in IL
Legal business name
INTERNATIONAL DENTAL CENTER
Doing business as
international dental center
Practice address
18 S Larkin Ave
Unit 6
Joliet, IL 60436-1244
Phone
(815) 730-1570
NPI assigned
Jul 19, 2010
Last updated
Jul 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERNATIONAL DENTAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. Rabeh Salamah, D.D.S
Title
Owner
Phone
(773) 865-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019023066 IL Primary

Addresses

Primary practice location

18 S Larkin Ave
Unit 6
Joliet, IL 60436-1244

Mailing address

18 S Larkin Ave
Unit 6
Joliet, IL 60436-1244
Phone (815) 730-1570

Other names 1

  • international dental center Doing business as

National Provider Directory

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

Other organizations with this tax ID 5

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

Locations

18 S Larkin Ave
Ste 6
Joliet, IL 60436
Phone (815) 730-1570

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1750694824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S LARKIN AVE",
            "address_2": "UNIT 6",
            "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",
            "address_2": "UNIT 6",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361244",
            "telephone_number": "815-730-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNATIONAL DENTAL CENTER",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "SALAMAH",
        "authorized_official_first_name": "RABEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-865-2859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "international dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2010; 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.