Individual provider Active NPI

Munira Jiwani, D.D.S.

  • Dentist
  • Ashland, VA
National Provider Identifier
1508008640
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413868 Issued in VA
Practice address
11601 Lakeridge Pkwy Ste 300
Ashland, VA 23005-8234
Phone
(804) 266-2400
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 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 0401413868 VA Primary

Addresses

Primary practice location

11601 Lakeridge Pkwy Ste 300
Ashland, VA 23005-8234

Mailing address

1442 Tahoe Valley LN
Sugar Land, TX 77479-5370
Phone (903) 283-1996

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
0401413868VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hsa Dental CurrentSince Sep 28, 2025 Accepting new patients

Locations

11601 Lakeridge Pkwy
Ste 300
Ashland, VA 23005
Phone (804) 266-2400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1508008640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 TAHOE VALLEY LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795370",
            "telephone_number": "903-283-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 LAKERIDGE PKWY STE 300",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058234",
            "telephone_number": "804-266-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIWANI",
        "first_name": "MUNIRA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.