NPIMap

Organization Active NPI

Artistic Cosmetic Dentistry

  • General Practice Dentistry
  • Des Plaines, IL
National Provider Identifier
1871797308
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024883 Issued in IL
Legal business name
ARTISTIC COSMETIC DENTISTRY
Practice address
1455 E Golf Rd
Suite 209
Des Plaines, IL 60016-1250
Phone
(847) 296-3200
Fax
(847) 296-3205
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Nasrin Azimzadeh, D.M.D.
Title
Owner
Phone
(847) 296-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024883 IL Primary

Addresses

Primary practice location

1455 E Golf Rd
Suite 209
Des Plaines, IL 60016-1250

Mailing address

1455 E Golf Rd
Suite 209
Des Plaines, IL 60016-1250
Phone (847) 296-3200

National Provider Directory

National Provider Directory
Tax ID family
Artistic Cosmetic Dentistry2 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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1871797308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "address_2": "SUITE 209",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-296-3200",
            "fax_number": "847-296-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "address_2": "SUITE 209",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-296-3200",
            "fax_number": "847-296-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISTIC COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "AZIMZADEH",
        "authorized_official_first_name": "NASRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-296-3200",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.