MARYAM GHEISARIFAR
NPI 1831731116
Dentist - Prosthodontics in Chicago, IL

Active since October 08, 2019
801 S PAULINA ST, CHICAGO, IL 60612(414) 808-5822 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryam Gheisarifar NPPES

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

MARYAM GHEISARIFAR (NPI 1831731116) is an individual prosthodontics provider in Chicago, Illinois, licensed in Illinois (019.033384) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1831731116
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameMARYAM GHEISARIFAR
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address500 W Superior St Unit 1205Chicago, IL 60654-8139 · (414) 808-5822
Sole ProprietorYes
Enumeration DateOctober 8, 2019
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1831731116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in IL · 019.033384
Definition
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.
801 S PAULINA ST, Chicago, IL 60612

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612

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 Maryam Gheisarifar's NPI number?

The NPI number for Maryam Gheisarifar is 1831731116. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Maryam Gheisarifar located?

Maryam Gheisarifar practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (414) 808-5822.

What is Maryam Gheisarifar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Maryam Gheisarifar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 6 other insurers list Maryam Gheisarifar 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 Maryam Gheisarifar was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.