Iyad S Omar, R.D.H, B.S.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020013964 Issued in IL

Practice address

2803 W 95TH St
Evergreen Park, IL 60805-2702

Phone

(708) 425-1134

NPI assigned

Oct 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Care of Evergreen Park

  • Dentist
  • Evergreen Park, IL
  • NPI 1083824643
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1912379017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052702",
            "telephone_number": "708-425-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052702",
            "telephone_number": "708-425-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "IYAD",
        "middle_name": "S",
        "credential": "R.D.H, B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020013964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Odwyer, MA, MED.,LCPC, NCC
• Adedotun A. Ogunsua, M.D.
• Oliver Drabkin M.D. S.C.
• Nancy Ann Olsen, APN
• Jessica L Olson, LCPC
• Margaret Omole, P.T
• Chijoke H Onyenwenyi, MD
• Optech Orthotics & Prosthetics Services, LTD
• Goda Orentaite, PA-C
• Sarah Orsi, HEARING INSTR. SPECI

• Dental Hygienist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.