Individual provider Active NPI

Nadia Iqbal, DDS

  • Dentist
  • Ypsilanti, MI
National Provider Identifier
1346319662
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
290108391 Issued in MI
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4912288MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509001504 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052610326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
290108391MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.