MIDWEST DENTAL ASSOCIATES (NPI# 1356515175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356515175 |
| Entity Type | Organization |
| Organization Name | MIDWEST DENTAL ASSOCIATES |
| Practice Address |
1677 Montgomery Rd Aurora IL 60504-8802 |
| Practice Telephone | 6304999400 |
| Practice Fax Number | 6304999494 |
| Mailing Telephone | 6304999400 |
| Mailing Fax Number | 6304999494 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | MRS. MOHAMMED/ SAMAAN SALAMAH/ SAMY (DENTIST) |
| Authorized Official Telephone | 6304999400 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 019026586 | IL | Managed Care Organizations |
| Street Address |
1677 MONTGOMERY RD |
| City | AURORA |
| State | IL |
| Zip Code | 60504-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295896827 | Mohammed Salamah | Dentist | 1677 Montgomery Rd, Aurora, IL 60504-8802 | 2006-12-13 |
| 1770942823 | Homam Waleed Saadi | Dentist | 1677 Montgomery Rd, Aurora, IL 60504-8802 | 2016-02-17 |
| 1518350586 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 1677 Montgomery Rd, Suite 102, Aurora, IL 60504-8802 | 2015-03-14 |
| 1306145875 | Richmond G Nimako-boateng | Pharmacist | 1677 Montgomery Rd, Suite 110-112, Aurora, IL 60504-8802 | 2011-03-23 |
| 1639232390 | Kingsway Ent. Inc | Prosthetic/Orthotic Supplier | 1677 Montgomery Rd, Suite 110-112, Aurora, IL 60504-8802 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649787599 | Diabetes Wellness Solutions, LLC | Preferred Provider Organization | 23911 E Arapahoe Rd, Aurora, CO 80016-4120 | 2018-01-01 |
| 1902275209 | Life Balance Counseling | Preferred Provider Organization | 2323 S Troy St Ste 256, Aurora, CO 80014-1946 | 2015-09-17 |
| 1780092056 | Community Re-entry Place Inside/out | Preferred Provider Organization | 14221 E 4th Ave Ste 330, Aurora, CO 80011-8727 | 2014-07-30 |
| 1881026854 | Aurora Dental Group LLC | Preferred Provider Organization | 1344 S Chambers Rd Ste 201, Aurora, CO 80017-4096 | 2013-08-01 |
| 1235418625 | Monica Rudestam | Preferred Provider Organization | 14936 3rd St Ne, Aurora, OR 97002-9221 | 2011-08-16 |
| 1487801890 | Optimum Chiropractic Center, S.c. | Preferred Provider Organization | 1013 Audubon Ln, Aurora, IL 60506-8853 | 2008-08-27 |
| 1629078993 | Rocky Mountain Infectious Disease Specialists, P.C. | Preferred Provider Organization | 1550 S Potomac St, Suite 270, Aurora, CO 80012-5455 | 2005-07-28 |
| 1720457435 | Access Management Services | Preferred Provider Organization | 11100 E Bethany Dr, Aurora, CO 80014 | 2015-09-23 |
| 1972904282 | Meadow Lake Dental LLC | Preferred Provider Organization | 3941 75th St, Suite 102, Aurora, IL 60504-7924 | 2014-09-07 |
| 1386941748 | Eyeland Optical Corporation | Preferred Provider Organization | 26 E Downer Pl, Aurora, IL 60505-3302 | 2011-02-22 |
| Find all providers in AURORA | ||||
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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.