Soudabeh Rafieian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1920 N Lincoln Ave
Ste #C7 Mid America Dental Center
Chicago, IL 60614-5480

Phone

(312) 642-5107

Fax

(312) 642-2958

NPI assigned

Jun 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932304904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N LINCOLN AVE",
            "address_2": "STE #C7 MID AMERICA DENTAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145480",
            "telephone_number": "312-642-5107",
            "fax_number": "312-642-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N LINCOLN AVE",
            "address_2": "STE #C7 MID AMERICA DENTAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145480",
            "telephone_number": "312-642-5107",
            "fax_number": "312-642-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIEIAN",
        "first_name": "SOUDABEH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Sophia Raffman
• Brandon Rafidi
• Fadia Amjad Rafidi
• Amir M Rafidia, MD
• Ali Rafie-Safaie, D.C.
• Arash Rafiq, M.D. , M.B;B.S.
• Muhammad Rafiq, M.D
• Shohon Marzuq Rafique
• Ali Ahmad Rafiqui
• Christiaan Elizabeth Raftery, L.C.S.W.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.