Amjad Ali

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031485 Issued in IL

Practice address

4804 W Cherrywood CT
Midland, TX 79707-2601

Phone

(281) 785-5300

Fax

(281) 785-5300

NPI assigned

Dec 20, 2017

Last updated

Jan 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Circle PLLC

  • General Practice Dentistry
  • Aurora, IL
  • NPI 1871335612
  NPD Authorized official

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1003322520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544782",
            "telephone_number": "281-785-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 W CHERRYWOOD CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072601",
            "telephone_number": "281-785-5300",
            "fax_number": "281-785-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AMJAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031485",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie Ramirez Alcala, PA-C
• Lusi Gabriela Aleman, LMSW
• Alex G Chisholm Crna PC
• Kendra Denise Alexander, APRN, FNP
• Tanya Slaughter Alexander, LPC
• Mohammed Hussein Nasser Aljarwi, MD
• All About Hearing, Inc.
• Colleen Allard, PHARM D
• Allegiance Health Center of Midland, LLC (Allegiance Hospital of Midland-Permian Basin)
• Allegiance Specialty Hospital of Permian Basin (Rural Pharmacy Solutions)

• General Practice Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.