Individual provider Active NPI

Dhari Alenezi, DDS

  • Dentist
  • Morgantown, WV
National Provider Identifier
1033583174
Registry record updated Nov 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3197 Issued in WV
Practice address
507 Burroughs St Apt 403
Morgantown, WV 26505-3396
Phone
(304) 216-0507
NPI assigned
Nov 29, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3197 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

507 Burroughs St Apt 403
Morgantown, WV 26505-3396

Mailing address

507 Burroughs St Apt 403
Morgantown, WV 26505-3396
Phone (304) 216-0507

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2015.

{
    "created_epoch": "1448755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448755200000",
    "number": "1033583174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BURROUGHS ST APT 403",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053396",
            "telephone_number": "304-216-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BURROUGHS ST APT 403",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053396",
            "telephone_number": "304-216-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALENEZI",
        "first_name": "DHARI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-29",
        "last_updated": "2015-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.