Individual provider Active NPI

Ayman M. Ali, DMD

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1053461210
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11746 Issued in GA
Practice address
4449 Easton Way
Columbus, OH 43219
Phone
(800) 317-0711
Fax
(478) 348-2269
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11746 GA Primary

Addresses

Primary practice location

4449 Easton Way
Columbus, OH 43219

Mailing address

362 Lazzaro Blvd
Broadview Heights, OH 44147
Phone (706) 564-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170330002255 OH Practitioner - Oral Surgery 0345418869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24812TXMDPharmacist
11746GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1053461210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 LAZZARO BLVD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "706-564-5110",
            "fax_number": "478-348-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "800-317-0711",
            "fax_number": "478-348-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "AYMAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.