DR. SODABEH ETMINAN DMD
NPI 1003047929
Dentist - General Practice in Chicago, IL
About Dr. Sodabeh Etminan Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SODABEH ETMINAN DMD (NPI 1003047929) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.027979) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sodabeh Etminan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60649 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sodabeh Etminan's NPI number?
The NPI number for Sodabeh Etminan is 1003047929. It was assigned to this individual provider in the NPPES registry on July 28, 2009.
Where is Sodabeh Etminan located?
Sodabeh Etminan practices at 7131 S Jeffery Blvd Ste A, Chicago, IL 60649. The listed phone number is (773) 256-0526.
What is Sodabeh Etminan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sodabeh Etminan enrolled in Medicare?
Yes. Sodabeh Etminan is registered in the Medicare PECOS enrollment system.
What insurance does Sodabeh Etminan accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Sodabeh Etminan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sodabeh Etminan was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sodabeh Etminan, DMD · NPI 1003047929
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 28, 2009.
## Identity
- **NPI:** 1003047929 (Entity type: Individual)
- **Enumerated:** July 28, 2009
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019.027979 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 7131 S JEFFERY BLVD STE A, Chicago, IL 60649-2176
- **Phone:** (773) 256-0526
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** September 28, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1003047929) · Data from the CMS NPPES public registry.