Individual provider Active NPI

Nia F. Rashad, DDS

  • General Practice Dentistry
  • Bethlehem, PA
National Provider Identifier
1205927886
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037422 Issued in PA
Practice address
3926 Nazareth Pike Unit 24
Bethlehem, PA 18020-1116
Phone
(570) 369-6885
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS037422 PA Primary

Addresses

Primary practice location

3926 Nazareth Pike Unit 24
Bethlehem, PA 18020-1116

Mailing address

15 Eastridge LN
Knoll Acres II
East Stroudsburg, PA 18302-7102
Phone (570) 369-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181109000652 PA Order and Referring Only - DentistPractitioner - Dentist 4688630916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205927886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EASTRIDGE LN",
            "address_2": "KNOLL ACRES II",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183027102",
            "telephone_number": "570-369-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 NAZARETH PIKE UNIT 24",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201116",
            "telephone_number": "570-369-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHAD",
        "first_name": "NIA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.