IndividualActive
Nestor Diaz, DMD
NPI 1659174332 · Student in an Organized Health Care Education/Training Program · Stickney, IL
Provider details
- NPI number
- 1659174332
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.036103 (IL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 019.036103 (IL)
Student, Health Care
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3930 Oak Park Ave
Stickney, IL 60402-4168
Phone: (708) 491-0002
Street-level locationGet directions
Mailing address
3930 Oak Park Ave
Stickney, IL 60402-4168
Registry dates
- Enumerated
- 2025-03-29
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.