Active NPI
Tamreen Iqbal
- Dentist
- Norwalk, CT
National Provider Identifier
1376229500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13826
- Practice address
- 360 Connecticut Ave
Norwalk, CT 06854-1824 - Phone
- (203) 831-0080
- NPI assigned
- Jun 22, 2023
- 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 | 13826 | CT | Primary |
Addresses
Primary practice location
360 Connecticut Ave
Norwalk, CT 06854-1824
Mailing address
360 Connecticut Ave
Norwalk, CT 06854-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20230823002904 | CT | Order and Referring Only - Dentist | 6901269984 |
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": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1376229500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541824",
"telephone_number": "203-831-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "TAMREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.