Joseph Kalani Ahlo, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

052312-1 Issued in NY

Practice address

396 Atlantic Ave
Freeport, NY 11520-5217

Phone

(516) 378-1968

NPI assigned

Jul 3, 2008

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlas Dental Group

  • Dental Clinic/Center
  • Hamilton Square, NJ
  • NPI 1467160945
  NPD Authorized official

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1225291990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205217",
            "telephone_number": "617-905-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205217",
            "telephone_number": "516-378-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLO",
        "first_name": "JOSEPH",
        "middle_name": "KALANI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "052312-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Adler, L.AC.
• Nnenna Agu
• Miriam Ahmed, MS, MD
• AIDS Day Treatment Facility
• AIDS Dental Services
• Iheanyichukwu Aja-Onu, M.D.
• Ajr Family Dental PLLC

• Periodontics in Freeport, NY
• Providers in Freeport, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.