Ali Hassan Ismail, D..D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020912 Issued in MI

Practice address

41920 Wolfe Pass
Novi, MI 48377

Phone

(248) 520-0456

NPI assigned

Mar 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Ali Ismail DDS PLLC

  • General Practice Dentistry
  • Canton, MI
  • NPI 1891255964
  NPD (past) Authorized official
• Lifetime Dental Care of Michigan, P.C.

  • General Practice Dentistry
  • Livonia, MI
  • NPI 1447836242
  NPD (past)
• Livonia Dental Care

  • Exclusive Provider Organization
  • Livonia, MI
  • NPI 1083884092
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1154747095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41920 WOLFE PASS",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772867",
            "telephone_number": "248-520-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41920 WOLFE PASS",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-520-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33428 Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481542860",
            "country_code": "US",
            "telephone_number": "734-427-7555",
            "fax_number": "734-427-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "ALI",
        "middle_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "D..D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Beth Irving
• Charles Irving
• Rylie K Isaacson
• Danielle Clarice Isham, MD
• Mark Stuart Isler, DDS MS
• Beenish Ismail
• Carla Ismail
• Muna Ismail
• Michelle Isreal
• Hosam Issa

• General Practice Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.