Active NPI
Ahmad Alanezi
- Dentist
- Boston, MA
National Provider Identifier
1093434540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- MCS000354T
- Practice address
- 188 Longwood Ave
Boston, MA 02115-5888 - Phone
- (617) 432-1434
- Fax
- (617) 432-4258
- NPI assigned
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Dentist | 122300000X | MCS000354T | MA | Primary |
Addresses
Primary practice location
188 Longwood Ave
Boston, MA 02115-5888
Mailing address
188 Longwood Ave
Boston, MA 02115-5888
Phone (617) 758-9848
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MCS000354T | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1093434540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155888",
"telephone_number": "617-758-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155888",
"telephone_number": "617-432-1434",
"fax_number": "617-432-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALANEZI",
"first_name": "AHMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-25",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "MCS000354T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.