Active NPI
Maryam Riaz Qureshi, DDS
- Dentist
- Dallas, TX
National Provider Identifier
1689160533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37992
- Practice address
- 18111 Preston Rd Ste 100
Dallas, TX 75252-6600 - Phone
- (469) 917-1220
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 37992 | TX | Primary |
| Dentist | 122300000X | 019031766 | IL |
Addresses
Primary practice location
18111 Preston Rd Ste 100
Dallas, TX 75252-6600
Mailing address
18111 Preston Rd Ste 100
Dallas, TX 75252-6600
Phone (469) 917-1220
Other practice location 1
3556 Tx-114
Fort Worth, TX 76177
Phone (682) 382-2520
Other practice location 2
2316 W Madison St
Chicago, IL 60612-2228
Phone (312) 491-0601
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37992 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ash Dental PC | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Chicago, IL
- NPI 1053584599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1689160533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18111 PRESTON RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752526600",
"telephone_number": "469-917-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 PRESTON RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752526600",
"telephone_number": "469-917-1220"
}
],
"practiceLocations": [
{
"address_1": "3556 Tx-114",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "76177",
"country_code": "US",
"telephone_number": "682-382-2520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2316 W Madison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606122228",
"country_code": "US",
"telephone_number": "312-491-0601",
"fax_number": "312-491-0602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QURESHI",
"first_name": "MARYAM",
"middle_name": "RIAZ",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37992",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019031766",
"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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.