Individual provider Active NPI

Komal Saqib, DMD

  • Dentist
  • Chandler, AZ
National Provider Identifier
1447725973
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010162 Issued in AZ
Practice address
5095 S Gilbert Rd
Chandler, AZ 85249-5709
Phone
(480) 887-0817
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
D010162AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Dental Group and Orthodontics, LLP General Practice Past Accepting new patients
Arizona Dental Professionals, P.C. General Practice PastSince Nov 15, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010162 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

5095 S Gilbert Rd
Chandler, AZ 85249-5709

Mailing address

5095 S Gilbert Rd
Chandler, AZ 85249-5709
Phone (480) 887-0817

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2021.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1447725973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 S GILBERT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495709",
            "telephone_number": "480-887-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 S GILBERT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495709",
            "telephone_number": "480-887-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAQIB",
        "first_name": "KOMAL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.