Active NPI
Emaan Qureshi, DMD
- Dentist
- Lake Forest, CA
National Provider Identifier
1023679222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105776
- Practice address
- 23704 El Toro Rd Ste a
Lake Forest, CA 92630-8906 - Phone
- (949) 770-9355
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.025885 | OH | |
| Dentist | 122300000X | 105776 | CA | Primary |
Addresses
Primary practice location
23704 El Toro Rd Ste a
Lake Forest, CA 92630-8906
Mailing address
2241 Cranberry Rd
Tustin, CA 92780-6828
Phone (859) 608-9844
Other practice location 1
3101 Burnet Ave
Cincinnati, OH 45229-3014
Phone (513) 357-7383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105776 | CA | MD | Dentist |
| 30.025885 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McMurray Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lake Forest Dental Group
- General Practice Dentistry
- Lake Forest, CA
- NPI 1831295633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1023679222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 CRANBERRY RD",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806828",
"telephone_number": "859-608-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23704 EL TORO RD STE A",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308906",
"telephone_number": "949-770-9355"
}
],
"practiceLocations": [
{
"address_1": "3101 Burnet Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293014",
"country_code": "US",
"telephone_number": "513-357-7383",
"fax_number": "513-357-7385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QURESHI",
"first_name": "EMAAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.025885",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.