DR. MARYAM MOGHADAM (DDS) – Dentist, NPI 1306874029

DR. MARYAM MOGHADAM (DDS) is a healthcare provider. based in Chicago, Illinois. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 019025836 (IL). The NPI Number for DR. MARYAM MOGHADAM (DDS) is 1306874029

Main info

Female
Name
DR. MARYAM MOGHADAM (DDS)
NPI
1306874029
Phone
(773) 889-3333
Address
2556N LARAMIE AVE
Enumeration Date
29 June 2006
Last Update Date
26 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. MARYAM MOGHADAM (DDS)

  • 2556N LARAMIE AVE

    CHICAGO, IL 606392452

    Phone: (773) 889-3333

    Fax: (773) 889-3336

    Type: Mailing

  • 234, Ridge Avenue, Ridgeville, Evanston, Evanston Township, Cook County, Illinois, 60202, United States

    #1

    EVANSTON, IL 602023349

    Phone: (847) 864-5491

    Type: Location

  • 22778 E POCO CALLE

    QUEEN CREEK, AZ 851421449

    Phone: (847) 848-6339

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Dentsply Sirona Inc ($32).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60639)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MARYAM MOGHADAM (DDS) in U.S. healthcare records?
The official identifier for DR. MARYAM MOGHADAM (DDS) is NPI 1306874029.
Is DR. MARYAM MOGHADAM (DDS) shown as active in public data?
Registry records indicate DR. MARYAM MOGHADAM (DDS) maintains an active NPI.
How would a patient describe DR. MARYAM MOGHADAM (DDS)'s focus?
For DR. MARYAM MOGHADAM (DDS), the primary taxonomy reads as Dentist. Clinical services aligned with this taxonomy classification.
Is DR. MARYAM MOGHADAM (DDS) associated with Chicago?
Public fields place DR. MARYAM MOGHADAM (DDS) around Chicago, Illinois. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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