Individual provider Active NPI

Ramzi Daibis, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clarendon Hills, IL
National Provider Identifier
1992025266
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019-028306 Issued in IL
Practice address
433 Ogden Ave
Clarendon Hills, IL 60514-2814
Phone
(630) 320-8888
NPI assigned
Jun 9, 2010
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 019-028306 IL Primary

Addresses

Primary practice location

433 Ogden Ave
Clarendon Hills, IL 60514-2814

Mailing address

433 Ogden Ave
Clarendon Hills, IL 60514-2814
Phone (306) 320-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151125000807 IL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7214237197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019-028306ILMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Band & Wire Orthodontics, LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1992025266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 OGDEN AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605142814",
            "telephone_number": "306-320-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 OGDEN AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605142814",
            "telephone_number": "630-320-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIBIS",
        "first_name": "RAMZI",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019-028306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

Verify at the official NPI Registry.