Active NPI
Nida Aqil, DMD
- General Practice Dentistry
- Pleasant Prairie, WI
National Provider Identifier
1922735158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6001043-15
- Practice address
- 10288 77TH St Ste 300
Pleasant Prairie, WI 53158-1134 - Phone
- (262) 697-4222
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6001043-15 | WI | Primary |
Addresses
Primary practice location
10288 77TH St Ste 300
Pleasant Prairie, WI 53158-1134
Mailing address
1309 Wentworth Dr
Volo, IL 60020-3416
Phone (302) 268-0336
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 |
|---|---|---|---|
| 6001043-15 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1922735158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 WENTWORTH DR",
"city": "VOLO",
"state": "IL",
"postal_code": "600203416",
"telephone_number": "302-268-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10288 77TH ST STE 300",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581134",
"telephone_number": "262-697-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQIL",
"first_name": "NIDA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6001043-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
- Pamela Anderson, RN
- Anzhela Andreichyk
- Renee Noelle Andrews, MS,RD,CD
- Rachel Elizabeth Cui Antony, PA-C
- Frederick Antwi
- Sarah L Armstrong, ATC
- Aurora Medical Group, Inc. (Aurora Health Center Pleasant Prairie)
- Aurora Pharmacy Inc (Aurora Pharmacy #1360)
- Aurora Surgery Centers, LLC (Aurora Pleasant Prairie Ambulatory Surgery Center)
- Richard Earl Averbeck, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.