Active NPI
Ayah Alina Ali, DMD
- Dentist
- Gibson City, IL
National Provider Identifier
1225869167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.035457
- Practice address
- 1120 N Melvin St
Gibson City, IL 60936-1477 - Phone
- (217) 784-2704
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.035457 | IL | Primary |
Addresses
Primary practice location
1120 N Melvin St
Gibson City, IL 60936-1477
Mailing address
9286 Falling Waters Dr E
Burr Ridge, IL 60527-0721
Phone (708) 238-9267
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035457 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1225869167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9286 FALLING WATERS DR E",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270721",
"telephone_number": "708-238-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N MELVIN ST",
"city": "GIBSON CITY",
"state": "IL",
"postal_code": "609361477",
"telephone_number": "217-784-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "AYAH",
"middle_name": "ALINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibson City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.