Individual provider Active NPI

Tareq Al-Ali, D.D.S

  • Dentist
  • Richmond, VA
National Provider Identifier
1194958157
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0442000110 Issued in VA
Practice address
2222 E Cary St Apt 214
Richmond, VA 23223-7085
Phone
(804) 564-1561
NPI assigned
Aug 25, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0442000110 VA Primary

Addresses

Primary practice location

2222 E Cary St Apt 214
Richmond, VA 23223-7085

Mailing address

2222 E Cary St Apt 214
Richmond, VA 23223-7085
Phone (804) 564-1561

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

LicenseStateTypeSpecialty
0442000110VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1194958157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E CARY ST APT 214",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237085",
            "telephone_number": "804-564-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E CARY ST APT 214",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237085",
            "telephone_number": "804-564-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ALI",
        "first_name": "TAREQ",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.