Fabian Gregory Hosein, D.D.S, M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021002221 Issued in IL

Practice address

3306 W Chartwell Rd
Peoria, IL 61614-2322

Phone

(309) 690-0011

Fax

(309) 690-0022

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1780701128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 W CHARTWELL RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142322",
            "telephone_number": "309-690-0011",
            "fax_number": "309-690-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W CHARTWELL RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142322",
            "telephone_number": "309-690-0011",
            "fax_number": "309-690-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEIN",
        "first_name": "FABIAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21461",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19027263",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "009566",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Horst, PT CERT. MDT
• Emily Marie Horvath, MD
• Frederick Horvath, MD
• Mary Hosbrough, LCPC
• Melanie Marie Hosbrough, MED. TATTOO ARTIST
• Charlene Lynette Hoskins, RD
• Taylor Hoskins
• William Raymond Hostetler, PTA
• Titus Hou, MD
• David Edward Houser, MD

• Endodontics in Peoria, IL
• Providers in Peoria, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.