Individual provider Active NPI

Faiza Ali

  • Endodontics
  • Round Rock, TX
National Provider Identifier
1205590593
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
40215 Issued in TX
Practice address
200 N Red Bud LN
Round Rock, TX 78665-8904
Phone
(512) 256-7572
NPI assigned
Oct 24, 2021
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL14923 MA
Endodontics 1223E0200X 40215 TX Primary

Addresses

Primary practice location

200 N Red Bud LN
Round Rock, TX 78665-8904

Mailing address

1101 Brushy Creek Rd Apt 2201
Cedar Park, TX 78613-3288
Phone (405) 772-0501

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.bu.edu/dental/ce/contact/ Direct

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
DL14923MAMDDentist
40215TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1205590593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRUSHY CREEK RD APT 2201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133288",
            "telephone_number": "405-772-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N RED BUD LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658904",
            "telephone_number": "512-256-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "FAIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL14923",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "40215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bu.edu/dental/ce/contact/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Official Boston University Secure Email",
            "address_1": "100 E Newton St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021183552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.