Organization Active NPI

Yousaf Ahmad DDS LLC

Doing business as Violet creek Family Dentistry

  • General Practice Dentistry
  • Elgin, IL
National Provider Identifier
1780059063
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019030102 Issued in IL
Legal business name
YOUSAF AHMAD DDS LLC
Doing business as
Violet creek Family Dentistry
Practice address
2415 Bowes Rd
Suite #110
Elgin, IL 60123-5535
Phone
(847) 386-4300
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Yousaf Ahmad, DDSNPI 1972865491
Title
Owner
Phone
(847) 386-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019030102 IL Primary

Addresses

Primary practice location

2415 Bowes Rd
Suite #110
Elgin, IL 60123-5535

Mailing address

2415 Bowes Rd
Suite #110
Elgin, IL 60123-5535
Phone (847) 386-4300

Other names 1

  • Violet creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2415 Bowes Rd
Ste 110
Elgin, IL 60123
Phone (847) 386-4300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1780059063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BOWES RD",
            "address_2": "SUITE #110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235535",
            "telephone_number": "847-386-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOWES RD",
            "address_2": "SUITE #110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235535",
            "telephone_number": "847-386-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSAF AHMAD DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "YOUSAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-386-4300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Violet creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.