Active NPI
Mohammad R Ekhtera DDS PC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1922407667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOHAMMAD R EKHTERA DDS PC
- Practice address
- 3190 N Elston Ave
Chicago, IL 60618-7129 - Phone
- (773) 564-9916
- Fax
- (872) 203-9984
- NPI assigned
- Aug 19, 2014
- 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
- Mohammad Reza Ekhtera, DDS
- Title
- President
- Phone
- (773) 564-9916
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 |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3190 N Elston Ave
Chicago, IL 60618-7129
Mailing address
Enamel Dental Salon
3190 N. Elston Ave
Chicago, IL 60618-7129
Phone (773) 564-9916
National Provider Directory
National Provider Directory- Tax ID family
- Mohammad R Ekhtera DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1205084456
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1114908282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1922407667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ENAMEL DENTAL SALON",
"address_2": "3190 N. ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187129",
"telephone_number": "773-564-9916",
"fax_number": "872-203-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 N ELSTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187129",
"telephone_number": "773-564-9916",
"fax_number": "872-203-9984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMAD R EKHTERA DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-19",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A",
"authorized_official_last_name": "EKHTERA",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "REZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-564-9916",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.