Dr. Mohammad H Taheri , DMD
Dentist - General Practice • Chicago, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mohammad Taheri has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mohammad Taheri, DMD was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 18 years, Dr. Taheri provided care at the practice location at 630 W WASHINGTON BLVD until profile deactivation on 2025-01-19.
Practice Location & Contact Primary Location
630 W Washington Blvd
Chicago, IL 606612117
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Chicago, IL
Practicing in Chicago, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-02-05NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 1223P0700X
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Prosthodontics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 630 W WASHINGTON BLVD, CHICAGO, IL 606612117 (Tel: 3129398550)
Registered at 630 W WASHINGTON BLVD, CHICAGO, IL 606612117 (Tel: 3129398550)
Dentist (License #021.003203 in IL)
Record officially reactivated for active practice on January 28, 2025
Record deactivated on January 19, 2025
NPI status registered as active in NPPES database
Registered at 1640 NEWPORT BLVD, SUITE 300, COSTA MESA, CA 926273786 (Tel: 9492003150)
Registered at 1640 NEWPORT BLVD, SUITE 300, COSTA MESA, CA 926273786 (Tel: 9492003150)
Recorded as MOHAMMAD TAHERI, DMD
Dentist (License #21620 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
630 W Washington Blvd
Chicago, IL 606612117
Phone: 3129398550
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