DR. MOHAMMED AHMED MAHDI SR. (NPI# 1568015568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568015568 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMED AHMED MAHDI SR. |
| Practice Address |
125 S Bloomingdale Rd Ste 9 Bloomingdale IL 60108-1216 |
| Practice Telephone | 6309240800 |
| Mailing Telephone | 2039694248 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
019032435 | IL | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
019032435 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891967709 | Mohammed Farouk Mahdi | Physical Therapist | 2226 Medical Center Dr Ste 101, Perris, CA 92571-2657 | 2008-03-31 |
| 1053970418 | Mohammed Mahdi | Dentist | 160 Washington St Unit 603, Rochester, NH 03839-5512 | 2019-06-10 |
| 1720584402 | Mohammed Khalid Mahdi | Student in an Organized Health Care Education/Training Program | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2018-04-02 |
| Street Address |
125 S BLOOMINGDALE RD STE 9 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162501 | Mahdi Dental LLC | Dentist | 125 S Bloomingdale Rd Ste 9, Bloomingdale, IL 60108-1216 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162501 | Mahdi Dental LLC | Dentist | 125 S Bloomingdale Rd Ste 9, Bloomingdale, IL 60108-1216 | 2020-07-24 |
| 1750600144 | Andre Jham | Dentist | 148 E Lake St, Ste C, Bloomingdale, IL 60108-1182 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1790310431 | Gregory D Long II | Dentist | 7131 N Knoxville Ave Ste B, Peoria, IL 61614-2088 | 2020-03-03 |
| 1073147682 | Collinsville Orthodontics Pllc | Dentist | 93 Crestmoor St, Collinsville, IL 62234-4952 | 2020-02-24 |
| 1740812494 | Bankhead Alton Orthodontics PC | Dentist | 2828 Homer Adams Pkwy, Alton, IL 62002-4855 | 2020-02-11 |
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1295379691 | Orthodontic Experts, Ltd | Dentist | 1351 N Larkin Ave, Joliet, IL 60435-3753 | 2019-10-30 |
| 1407409071 | Barysenka LLC | Dentist | 124 N California St, Sycamore, IL 60178-1402 | 2019-07-22 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.