Active NPI
Nadia Iqbal, DDS
- Dentist
- Ypsilanti, MI
National Provider Identifier
1346319662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 290108391
- Practice address
- 4918 W Clark Rd Ste 102
Ypsilanti, MI 48197-1142 - Phone
- (734) 291-0004
- Fax
- (734) 291-0006
- NPI assigned
- Nov 8, 2006
- Last updated
- Mar 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 290108391 | MI | Primary |
Addresses
Primary practice location
4918 W Clark Rd Ste 102
Ypsilanti, MI 48197-1142
Mailing address
50824 Breckenridge Dr
Canton, MI 48187-7709
Phone (734) 306-7473
Other practice location 1
5800 N Lilley Rd
Canton, MI 48187-3668
Phone (734) 407-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4912288 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160509001504 | MI | Order and Referring Only - Oral Surgery | 1052610326 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290108391 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Iqbal PC | Dentist | Current | Accepting new patients |
| Nadia Iqbal DDS PLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1346319662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50824 BRECKENRIDGE DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481877709",
"telephone_number": "734-306-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4918 W CLARK RD STE 102",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971142",
"telephone_number": "734-291-0004",
"fax_number": "734-291-0006"
}
],
"practiceLocations": [
{
"address_1": "5800 N Lilley Rd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MI",
"postal_code": "481873668",
"country_code": "US",
"telephone_number": "734-407-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IQBAL",
"first_name": "NADIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "290108391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4912288",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.