Individual provider Active NPI

Shazia Iqbal, DDS

  • General Practice Dentistry
  • Hayward, CA
National Provider Identifier
1083821938
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54895 Issued in CA
Practice address
123 W Jackson St
Hayward, CA 94544-1809
Phone
(925) 351-4991
Fax
(925) 351-4991
NPI assigned
May 17, 2007
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23206 TX
General Practice Dentistry 1223G0001X 54895 CA Primary

Addresses

Primary practice location

123 W Jackson St
Hayward, CA 94544-1809

Mailing address

5412 Waterlily Dr
San Ramon, CA 94582-5214
Phone (925) 351-4991

Other names 1

  • Shazia Rana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001000911 CA Order and Referring Only - DentistPractitioner - Dentist 2264740877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23206TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
S. Rana Dental Corporation General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: srana@direct.westerndental.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1083821938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 WATERLILY DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825214",
            "telephone_number": "925-351-4991",
            "fax_number": "925-351-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W JACKSON ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945441809",
            "telephone_number": "925-351-4991",
            "fax_number": "925-351-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "SHAZIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23206",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAZIA",
            "last_name": "RANA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.