Irbad Chowdhury, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

019028375 Issued in IL

Practice address

3236 W Fullerton Ave
Chicago, IL 60647-2512

Phone

(773) 276-0300

NPI assigned

Oct 1, 2010

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marcella Guzman P.C.

  dba A Brush Above

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1699301358
  NPD
• Marcella Guzman DDS PC

  dba A Brush Above Family Dentistry

  • Dentist
  • Chicago, IL
  • NPI 1669734406
  NPD (past)

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1922317312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N CANAL ST APT 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061504",
            "telephone_number": "847-372-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472512",
            "telephone_number": "773-276-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "IRBAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Chow, RN
• Yuhwen Chow, M.D.
• Nivan Chowattukunnel
• Shahnaz Chowdhry, M. D.
• Farzana Chowdhury, M.S., CCC-SLP
• Sarah Chowdhury
• Tasfia Muneer Chowdhury
• Bonnie Choy, M.D.
• Danny Choy, D.O
• Michaela Margaret Choy, LMFT

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.