Individual provider Active NPI

Maryam Riaz Qureshi, DDS

  • Dentist
  • Dallas, TX
National Provider Identifier
1689160533
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37992 Issued in TX
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

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37992 TX Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
37992TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.