NPIMap

Organization Active NPI

Hyde Park Universal Dental LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1861772394
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HYDE PARK UNIVERSAL DENTAL LLC
Practice address
1634 E 53Rd St
Suite 101
Chicago, IL 60615-4384
Phone
(773) 966-6465
Fax
(773) 952-4683
NPI assigned
Aug 29, 2011
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Dr. Ahmed Ramaha, DDSNPI 1891986790
Title
Presiden
Phone
(773) 891-4209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1634 E 53Rd St
Suite 101
Chicago, IL 60615-4384

Mailing address

9618 Southwest Hwy
Oak Lawn, IL 60453-2862
Phone (708) 394-5100

National Provider Directory

National Provider Directory
Tax ID family
Hyde Park Universal Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1634 E 53rd St
Ste 101
Chicago, IL 60615
Phone (773) 752-5677

9618 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 229-0101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1861772394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532862",
            "telephone_number": "708-394-5100",
            "fax_number": "708-907-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 E 53RD ST",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154384",
            "telephone_number": "773-966-6465",
            "fax_number": "773-952-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK UNIVERSAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "773-891-4209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.