NPIMap

Organization Active NPI

Ali Nematollahi D.D.S., P.C.

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1881804573
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-022805 Issued in IL
Legal business name
ALI NEMATOLLAHI D.D.S., P.C.
Practice address
2634 Patriot Blvd
Suite a
Glenview, IL 60026-8024
Phone
(847) 998-0255
Fax
(847) 998-0258
NPI assigned
May 23, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Ali Nematollahi, D.D.S.NPI 1760698138
Title
President
Phone
(847) 998-0255

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 Dentistry 1223G0001X 019-022805 IL Primary

Addresses

Primary practice location

2634 Patriot Blvd
Suite a
Glenview, IL 60026-8024

Mailing address

2634 Patriot Blvd
Suite a
Glenview, IL 60026-8024
Phone (847) 998-0255

National Provider Directory

National Provider Directory

Locations

2634 Patriot Blvd
#A
Glenview, IL 60026
Phone (847) 998-0255

Practitioners & affiliated clinicians

Practitioners 4

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1881804573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 PATRIOT BLVD",
            "address_2": "SUITE A",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-998-0255",
            "fax_number": "847-998-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 PATRIOT BLVD",
            "address_2": "SUITE A",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268024",
            "telephone_number": "847-998-0255",
            "fax_number": "847-998-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI NEMATOLLAHI D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "NEMATOLLAHI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-998-0255",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.