Active NPI
Syed Iqbal
- Dentist
- Ennis, TX
National Provider Identifier
1437548971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30664
- Practice address
- 1012 E Ennis Ave Ste C
Ennis, TX 75119-4350 - Phone
- (708) 522-4457
- NPI assigned
- Jan 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 30664 | TX | Primary |
Addresses
Primary practice location
1012 E Ennis Ave Ste C
Ennis, TX 75119-4350
Mailing address
10310 Cadena CT
Spring, TX 77379-3244
Phone (708) 522-4457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30664 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1437548971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 CADENA CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773793244",
"telephone_number": "708-522-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E ENNIS AVE STE C",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194350",
"telephone_number": "708-522-4457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IQBAL",
"first_name": "SYED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ennis, TX
- Raluchukwu Iloanugo, PT, DPT
- Impact Health Direct Primary Care, PLLC
- Independent Order of Odd Fellows Grand Lodge 100F of Texas
- Innate Medical Solutions PLLC
- International Healthcare Supplies & Equipment Inc
- Heather Rae Ivers, PHARM.D., R.PH.
- Jackson Services & Management LLC
- Erin Denise Jackson, LPC
- Ajaykumar R Jadeja, RPH
- Janie E. Roberson MD PA Dba North Texas Children'S Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.