Sumrana S Ahmed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-026293 Issued in IL

Practice address

2680 Belvidere Rd
Waukegan, IL 60085-6006

Phone

(847) 360-3045

Fax

(847) 360-0597

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Holy Family Dental Clinic, PC

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1538205158

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1922097294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 WASHINGTON ST",
            "address_2": "SUITE # 203",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315305",
            "telephone_number": "847-855-7000",
            "fax_number": "847-855-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 BELVIDERE RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856006",
            "telephone_number": "847-360-3045",
            "fax_number": "847-360-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SUMRANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Podiatric Surgical Services LLC
• Affordable Dentures & Implants - Illinois, PLLC
• Shweta Agarwal, NP
• Jacqueline Aguilar, RN
• Sana Shireen Ahmed, M.D.
• Yusrah Ahmed
• Pamela Akem-Mondum
• Alameda Foot Centers
• Laimarie Giselle Alas Dorsey, D.M.D., M.S.
• Idalia Alavez Pinto, PMHNP

• All providers in Waukegan, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.