Ali Waadallah Altitinchi

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN32444 Issued in FL

Practice address

5310 N Tarrant Parkway
Suite 106
Fortworth, TX 76244

Phone

(817) 849-9777

Fax

(205) 975-4431

NPI assigned

Oct 11, 2022

Sex

Male

Sole proprietor

No

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

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.

• Tarrant Dental Group PLLC

  • Dentist
  • Fort Worth, TX
  • NPI 1679207641
  NPD (past)

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1043935125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N TARRANT PARKWAY",
            "address_2": "SUITE 106",
            "city": "FORTWORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-849-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N TARRANT PARKWAY",
            "address_2": "SUITE 106",
            "city": "FORTWORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-849-9777",
            "fax_number": "205-975-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTITINCHI",
        "first_name": "ALI",
        "middle_name": "WAADALLAH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "40885",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN32444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartholomew A Akubukwe, PHARM D.
• Chilando Melody Chitobolo, LPC-A
• Shaila Sampat Gavande, MD
• Kidney Home Care Solutions LLC
• Geeta Manthena, M.D.
• Ambika K Nair, MD

• Endodontics in Fortworth, TX
• Providers in Fortworth, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.