DR. LAMA ALGHANEM KABIR DMD
NPI 1750805206
Dentist in Aurora, IL

NPI Status: Active since July 26, 2017

Contact Information

11 W DOWNER PL
AURORA, IL
ZIP 60506
Phone: (630) 892-4000

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dentist
Accepts Insurance
PECOS Enrolled

About LAMA KABIR

This page provides the complete NPI Profile along with additional information for Lama Kabir, a provider established in Aurora, Illinois with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1750805206 assigned on July 2017. The practitioner's primary taxonomy code is 122300000X with license number 019031455 (IL). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI: 1750805206
Provider Name: DR. LAMA ALGHANEM KABIR DMD
Gender: Female
Entity Type: Individual
Location Address: 11 W DOWNER PL AURORA, IL 60506
Location Phone: (630) 892-4000
Mailing Address: 3503 TIMBER CREEK LN NAPERVILLE, IL 60565
Mailing Phone: (248) 321-1429
Is Sole Proprietor?: No
Enumeration Date: 07-26-2017
Last Update Date: 08-23-2018
Code Navigator

A dentist like Lama Kabir is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

7335 Lemont Rd
Downers Grove, IL 60516
(630) 884-8174
6771 Berwick Dr
Clarkston, MI 48346
(248) 321-1429

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist
Taxonomy Code: 122300000X
Type: Dental Providers
License No.: 019031455
License State: IL
Taxonomy Description: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	122300000X	Dental Providers	Dentist	10168 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Delta Dental of Illinois

Delta Dental Individual Basic Plan - EPO
Delta Dental Individual Kids Basic Plan - EPO
Delta Dental Individual Kids Preferred Plan - EPO
Delta Dental Individual Preferred Plan - EPO
Delta Dental Individual Preventive Plan - PPO
Delta Dental Individual Primary Plan - PPO

Humana

Humana Dental Smart Choice - PPO
Humana Dental Smart Choice - High - PPO
Humana Dental Smart Choice - Lite - PPO
Humana Dental Smart Choice - Low - PPO
Humana Dental Smart Choice Basic - PPO
Humana Dental Smart Choice- Lite - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lama Kabir is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60506 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $93.02
Minimum New Patient Price $59.81
Maximum New Patient Price $181.38

Average New Patient Copayment $23.25
Minimum New Patient Copayment $14.95
Maximum New Patient Copayment $45.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $74.38
Minimum Established Patient Price $19.15
Maximum Established Patient Price $147.12

Average Established Patient Copayment $18.59
Minimum Established Patient Copayment $4.78
Maximum Established Patient Copayment $36.78

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	8	0	5	2	0	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	16	0	10	2	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 0 + 1 + 0 + 2 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 6									6

The NPI number 1750805206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.