SPECIALTY DENTAL SERVICES LTD
NPI 1275409153
Dentist - Periodontics in Chicago, IL

Active since October 16, 2025
111 N WABASH AVE STE 812, CHICAGO, IL 60602(312) 273-9350 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Specialty Dental Services Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALTY DENTAL SERVICES LTD (NPI 1275409153) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since October 2025. The organization lists Saad Khizar Usmani, Periodontist, Owner, as its authorized official.

NPPES Registry Identity

NPI1275409153
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSPECIALTY DENTAL SERVICES LTD
Location Address111 N WABASH AVE STE 812Chicago, IL 60602-1912
Mailing Address111 N Wabash Ave Ste 812Chicago, IL 60602-1912 · (312) 273-9350
Organization SubpartNo
Authorized OfficialSaad Khizar UsmaniPeriodontist, Owner · (312) 273-9350
Enumeration DateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1275409153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
111 N WABASH AVE STE 812, Chicago, IL 60602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialty Dental Services Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Specialty Dental Services Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1669928685
111 N WABASH AVE STE 812
Chicago, IL 60602
(312) 273-9350
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Specialty Dental Services Ltd's NPI number?

The NPI number for Specialty Dental Services Ltd is 1275409153. It was assigned to this organization in the NPPES registry on October 16, 2025.

Where is Specialty Dental Services Ltd located?

Specialty Dental Services Ltd is located at 111 N Wabash Ave Ste 812, Chicago, IL 60602. The listed phone number is (312) 273-9350.

What is Specialty Dental Services Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Specialty Dental Services Ltd enrolled in Medicare?

Yes. Specialty Dental Services Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Dental Services Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Specialty Dental Services Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Specialty Dental Services Ltd was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.