Active NPI
Lumy Dental Inc.
- General Practice Dentistry
- Oak Lawn, IL
National Provider Identifier
1902438682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LUMY DENTAL INC.
- Practice address
- 4425 W 95TH St
Oak Lawn, IL 60453-7222 - Phone
- (331) 233-1001
- Fax
- (331) 233-1002
- NPI assigned
- Feb 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Homam W Saadi, DDS
- Title
- General Dentist
- Phone
- (331) 233-1001
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
4425 W 95TH St
Oak Lawn, IL 60453-7222
Mailing address
219 S Alder Creek Dr
Romeoville, IL 60446-5342
Phone (248) 410-3341
Other names 1
- Dentalogic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oak Lawn, IL
- NPI 1770942823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1902438682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 S ALDER CREEK DR",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604465342",
"telephone_number": "248-410-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604537222",
"telephone_number": "331-233-1001",
"fax_number": "331-233-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMY DENTAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-10",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "SAADI",
"authorized_official_first_name": "HOMAM",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "331-233-1001",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentalogic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.