Active NPI
Iqra Walayat
- General Practice Dentistry
- Glastonbury, CT
National Provider Identifier
1619853975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14800
- Practice address
- 131 New London Tpke Ste 211
Glastonbury, CT 06033-2246 - Phone
- (860) 891-2557
- NPI assigned
- Aug 13, 2025
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14800 | CT | Primary |
Addresses
Primary practice location
131 New London Tpke Ste 211
Glastonbury, CT 06033-2246
Mailing address
42 Tiber Ave
Deer Park, NY 11729-7012
Phone (516) 853-4685
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 |
|---|---|---|---|
| 14800 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1619853975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 TIBER AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117297012",
"telephone_number": "516-853-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 NEW LONDON TPKE STE 211",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332246",
"telephone_number": "860-891-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALAYAT",
"first_name": "IQRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "14800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.