Organization Active NPI

Lumy Dental Inc.

  • General Practice Dentistry
  • Oak Lawn, IL
National Provider Identifier
1902438682
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Homam W Saadi, DDSNPI 1770942823
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.