Individual provider Active NPI

Lama Alghanem Kabir, DMD

  • Dentist
  • Aurora, IL
National Provider Identifier
1750805206
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019031455 Issued in IL
Practice address
11 W Downer PL
Aurora, IL 60506
Phone
(630) 892-4000
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10168 CA
Dentist 122300000X 019031455 IL Primary

Addresses

Primary practice location

11 W Downer PL
Aurora, IL 60506

Mailing address

3503 Timber Creek LN
Naperville, IL 60565-3572
Phone (248) 321-1429

Other practice location 1

7335 Lemont Rd
Downers Grove, IL 60516-3808
Phone (630) 884-8174

Other practice location 2

6771 Berwick Dr
Clarkston, MI 48346-4715
Phone (248) 321-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171102000945 CA Practitioner - Oral Surgery 7315203643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019031455ILMDDentist
10168CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Sep 30, 2017 Accepting new patients
Alameda Health System CurrentSince Sep 30, 2017 Accepting new patients
Alivio Dental Care, LLC Past Accepting new patients
Krishan Dental Limited Dentist Past Accepting new patients

Locations

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Organizations & group practices 5

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1750805206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 TIMBER CREEK LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653572",
            "telephone_number": "248-321-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W DOWNER PL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-892-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7335 Lemont Rd",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605163808",
            "country_code": "US",
            "telephone_number": "630-884-8174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6771 Berwick Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483464715",
            "country_code": "US",
            "telephone_number": "248-321-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABIR",
        "first_name": "LAMA",
        "middle_name": "ALGHANEM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "10168",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.