Samra Nikhath Hussain, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032633 Issued in IL

Practice address

315 E Madison St
Lombard, IL 60148-3455

Phone

(602) 334-3950

NPI assigned

Jun 12, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olive Family Dental LLC

  dba Olive Family Dental

  • Dental Clinic/Center
  • Northlake, IL
  • NPI 1881306660
  NPD Authorized official

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1932724135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E MADISON ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483455",
            "telephone_number": "602-334-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E MADISON ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483455",
            "telephone_number": "602-334-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "SAMRA",
        "middle_name": "NIKHATH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humanity Home Health, LLC
• Melissa Hundrieser, P.T.A.
• Eldon Leonard Huslig, DC
• Hibah M Hussain
• Mahjabeen S Hussain, O D
• Qudsia Hyder-Zaheer, M.D.
• Hypnometrics Therapy Inc
• Grant Charles Iannelli, DC
• Aurora Iasillo, LPC
• Jessica Ibarra

• General Practice Dentistry in Lombard, IL
• Providers in Lombard, 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 Jun 12, 2020; 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.