Active NPI
Ambreen Nizami, DMD
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1649430513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25519
- Practice address
- 3619 Forest LN
Dallas, TX 75234-7921 - Phone
- (972) 247-2020
- NPI assigned
- Jun 13, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25519 | TX | Primary |
| General Practice Dentistry | 1223G0001X | DI2377800 | NJ |
Addresses
Primary practice location
3619 Forest LN
Dallas, TX 75234-7921
Mailing address
216 Sheila Ave
Murphy, TX 75094-3797
Phone (908) 432-1422
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 |
|---|---|---|---|
| DI2377800 | NJ | MD | General Practice Dentistry |
| 25519 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1649430513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 SHEILA AVE",
"city": "MURPHY",
"state": "TX",
"postal_code": "750943797",
"telephone_number": "908-432-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 FOREST LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347921",
"telephone_number": "972-247-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIZAMI",
"first_name": "AMBREEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25519",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI2377800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.