Individual provider Active NPI

Isra Ahmed

  • Dentist
  • Memphis, TN
National Provider Identifier
1669376638
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13327 Issued in TN
Practice address
1195 Poplar Ave
Memphis, TN 38105-4807
Phone
(901) 722-8445
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13327 TN Primary

Addresses

Primary practice location

1195 Poplar Ave
Memphis, TN 38105-4807

Mailing address

3625 Cobb Rd
Lakeland, TN 38002-9709
Phone (901) 504-9180

Other practice location 1

3461 Ridge Meadow Pkwy
Memphis, TN 38115-4030
Phone (901) 365-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1669376638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 COBB RD",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380029709",
            "telephone_number": "901-504-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054807",
            "telephone_number": "901-722-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3461 Ridge Meadow Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381154030",
            "country_code": "US",
            "telephone_number": "901-365-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ISRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "13327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.