Individual provider Active NPI

Hiba E Nourahmed, DDS

  • Dentist
  • West Burlington, IA
National Provider Identifier
1942634902
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09038 Issued in IA
Practice address
401 S Gear Ave
Suite 101
West Burlington, IA 52655-1070
Phone
(319) 754-1800
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-09038 IA Primary

Addresses

Primary practice location

401 S Gear Ave
Suite 101
West Burlington, IA 52655-1070

Mailing address

401 S Gear Ave
Suite 101
West Burlington, IA 52655-1070
Phone (319) 754-1800

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
DDS-09038IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1942634902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GEAR AVE",
            "address_2": "SUITE 101",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551070",
            "telephone_number": "319-754-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GEAR AVE",
            "address_2": "SUITE 101",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551070",
            "telephone_number": "319-754-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURAHMED",
        "first_name": "HIBA",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.