Individual provider Active NPI

Maseera Quraishi, DMD

  • Dentist
  • Villa Park, IL
National Provider Identifier
1932761137
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.032184 Issued in IL
Practice address
298 W North Ave # 4
Villa Park, IL 60181-1159
Phone
(630) 530-9000
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.032184 IL Primary

Addresses

Primary practice location

298 W North Ave # 4
Villa Park, IL 60181-1159

Mailing address

3711 De Foe CT
Naperville, IL 60564-6118
Phone (630) 276-8296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.032184ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1932761137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 DE FOE CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605646118",
            "telephone_number": "630-276-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 W NORTH AVE # 4",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811159",
            "telephone_number": "630-530-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURAISHI",
        "first_name": "MASEERA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.