Mohammed Saim Jabbar, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019029422 Issued in IL

Practice address

1533 Ellinwood St
Des Plaines, IL 60016

Phone

(847) 582-3352

NPI assigned

Jun 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Saim Mohammad Jabbar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ajdc PLLC

  dba AJ Dental Center

  • General Practice Dentistry
  • Des Plaines, IL
  • NPI 1710662838
  NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1750721676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 ELLINWOOD ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-582-3352",
            "fax_number": "847-582-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 ELLINWOOD ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-582-3352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606345116",
            "country_code": "US",
            "telephone_number": "773-836-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABBAR",
        "first_name": "MOHAMMED",
        "middle_name": "SAIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAIM",
            "last_name": "JABBAR",
            "middle_name": "MOHAMMAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Infinite Care Home Physicians LLC
• Integrated Therapy Specialists, L.L.C.
• Amy Larisa Isenberg
• Vicki Lynn Ivins, M.S., CCC-SLP
• Madhu Mia Iyer, DC
• Marvin William Jackson, MD, MS
• Ann Elizabeth Jacob, PHARM D
• Gregory S Jacob, DDS
• William Louis Jacobs
• Michelle Lynn Jacobsberg

• Dentist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.