Individual provider Active NPI

Emad Fard, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
National Provider Identifier
1811568512
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
021.003426 Issued in IL
Practice address
10713 W 159TH St
Orland Park, IL 60467-4531
Phone
(708) 301-5000
NPI assigned
Jul 5, 2021
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 021.003426 IL Primary

Addresses

Primary practice location

10713 W 159TH St
Orland Park, IL 60467-4531

Mailing address

401 N Wabash Ave Unit 70D
Chicago, IL 60611-3910
Phone (312) 925-0384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805002781 IL Order and Referring Only - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 1355745886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021.003426ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Louis N Korompilas DDS PC Oral and Maxillofacial Surgery PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1811568512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WABASH AVE UNIT 70D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113910",
            "telephone_number": "312-925-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10713 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-301-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARD",
        "first_name": "EMAD",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021.003426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.