Umar Mirza, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043762 Issued in PA

Practice address

3302 N 5TH Street Hwy
Reading, PA 19605-2427

Phone

(610) 929-4040

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mirza Dental

  • Dental Clinic/Center
  • East Windsor, NJ
  • NPI 1568293306
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1043945348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BEUCLER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213001",
            "telephone_number": "201-962-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 N 5TH STREET HWY",
            "city": "READING",
            "state": "PA",
            "postal_code": "196052427",
            "telephone_number": "610-929-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "UMAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Millisock, BA
• Mind Matters Coaching, Counseling, & Psychological Associates LLC
• Mind Prime Counseling and Wellness LLC
• Kathleen Minerly, D.O.,
• Cody Minnich
• Catherine A Misciagna, MA, LPC
• Amanda M Misiak, PA-C
• Emily Mistishen, RDH
• Nicholas Charles Mitchell, MD
• Mobile Fce Consultants, LLC

• General Practice Dentistry in Reading, PA
• Providers in Reading, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.