Mariam Bawany, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.031633 Issued in IL

Practice address

320 E Armstrong Ave
Peoria, IL 61603-3172

Phone

(309) 624-2411

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jun 27, 2018.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1992290456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 PENNSBURY LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601336712",
            "telephone_number": "773-946-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E ARMSTRONG AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033172",
            "telephone_number": "309-624-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWANY",
        "first_name": "MARIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bauernfeind, MD
• Rebecca Lynn Baumann, M.D.
• Gavin Jude Baumgart, MD
• Peter Baumgartel, MD
• Thanasis Christos Bavelis, D.O.
• Michelle C Bayer, PT
• Debra E Beach, APN
• Julia Ann Beal
• Sarah B Beam
• Jeremiah Bean, DO

• All providers in Peoria, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.