Active NPI
Mohammad Taqi Qali, DDS,MS
- Periodontics
- Philadelphia, PA
National Provider Identifier
1154095263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS041511
- Practice address
- 834 Chestnut St Apt No714
Philadelphia, PA 19107-5127 - Phone
- (215) 429-9292
- NPI assigned
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041511 | PA | MD | Periodontist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS041511 | PA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS041511 | PA |
Addresses
NPPES NPI RegistryPrimary practice location
834 Chestnut St Apt No714
Philadelphia, PA 19107-5127
Mailing address
834 Chestnut St Apt No714
Philadelphia, PA 19107-5127
Phone (215) 429-9292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2021.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1154095263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 CHESTNUT ST APT NO714",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075127",
"telephone_number": "215-429-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 CHESTNUT ST APT NO714",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075127",
"telephone_number": "215-429-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QALI",
"first_name": "MOHAMMAD",
"middle_name": "TAQI",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS041511",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS041511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.