Individual provider Active NPI

Tariq Hafeez, DDS

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1942561436
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.029361 Issued in IL
Practice address
7923 Lincoln Ave # 100
Skokie, IL 60077-3681
Phone
(847) 881-6636
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020665 MI
General Practice Dentistry 1223G0001X 019.029361 IL Primary

Addresses

Primary practice location

7923 Lincoln Ave # 100
Skokie, IL 60077-3681

Mailing address

7923 Lincoln Ave # 100
Skokie, IL 60077-3681
Phone (847) 881-6636

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
019.029361ILMDGeneral Practice Dentistry
2901020665MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tariq Hafeez DDS PC Current Accepting new patients

Locations

7923 Lincoln Ave
#100
Skokie, IL 60077
Phone (847) 881-6636

7923 Lincoln Ave
Ste 100
Skokie, IL 60077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1942561436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7923 LINCOLN AVE # 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773681",
            "telephone_number": "847-881-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7923 LINCOLN AVE # 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773681",
            "telephone_number": "847-881-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "TARIQ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020665",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.