Individual provider Active NPI

Insiya Huseni Saboowala, D.D.S.

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1740560127
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60720 Issued in CA
Practice address
48023 Purpleleaf St
Fremont, CA 94539-7505
Phone
(469) 247-1188
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60720 CA Primary

Addresses

Primary practice location

48023 Purpleleaf St
Fremont, CA 94539-7505

Mailing address

11113 Wilkinson Ave
Cupertino, CA 95014-4734
Phone (510) 400-8023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812002150 CA Order and Referring Only - DentistPractitioner - Dentist 3476847401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60720CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Insiya Saboowala DDS Inc 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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1740560127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11113 WILKINSON AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144734",
            "telephone_number": "510-400-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48023 PURPLELEAF ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397505",
            "telephone_number": "469-247-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOOWALA",
        "first_name": "INSIYA",
        "middle_name": "HUSENI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.