Zeyad Alani
Individual provider Active NPI Dentist · Rancho Cordova, CA
NPI 1114670197 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1114670197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 107260 (CA)
- Practice address
- 4022 Sunrise Blvd
Rancho Cordova, CA 95742-6911 - Phone
- (916) 246-1108
- NPI assigned
- Jan 31, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107260 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107260 | CA | Yes |
Addresses
Primary practice location
4022 Sunrise Blvd
Rancho Cordova, CA 95742-6911
Mailing address
4022 Sunrise Blvd
Rancho Cordova, CA 95742-6911
Phone (916) 246-1108
NPI Registry JSON
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1114670197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4022 SUNRISE BLVD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426911",
"telephone_number": "916-246-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 SUNRISE BLVD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426911",
"telephone_number": "916-246-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALANI",
"first_name": "ZEYAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.