Mustafa Iqbal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32936 Issued in TX

Practice address

1925 Park Lake Dr
Waco, TX 76708-1682

Phone

(254) 221-0999

NPI assigned

Jun 9, 2017

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

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.

• Aim Aria PPLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1760058556
  NPD Authorized official
• Aim SP Dental PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1588250906
  NPD Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1356870513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12904 GORDONS HVN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536402",
            "telephone_number": "210-215-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PARK LAKE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767081682",
            "telephone_number": "254-221-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Vision Eye Care, LLC
• In-Vitro Diagnostics Inc
• Inspired Skin Wellness, LLC.
• Integrated Pain Associates PLLC
• Integrative Behavioral Health of Central Texas
• Kerry Irons, M.D.
• Laura Irvin, D.O.
• Destiny Leigh Irwin, FNP-C
• Patrice Islas
• Kevin Itty

• General Practice Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.

Verify at the official NPI Registry.