Mujtaba Alamiri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000010624 Issued in TN

Practice address

2808 Wilma Rudolph Blvd
Clarksville, TN 37040-5032

Phone

(870) 619-1600

NPI assigned

Mar 20, 2017

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clarksville Dentures and Implants

  • Dental Clinic/Center
  • Clarksville, TN
  • NPI 1407621477
  NPD
• Kirby J. Robinson, DDS of Arkansas, PLLC

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1033627286
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1336680552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405032",
            "telephone_number": "931-999-2929",
            "fax_number": "931-233-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405032",
            "telephone_number": "870-619-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMIRI",
        "first_name": "MUJTABA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4304",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000010624",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donatus Ailodion
• Aim Comprehensive Therapy LLC
• Air Evac EMS, Inc. (Air Evac Lifeteam)
• Olaide Ifelola Ajayi, M.D.
• Tamer Samy Akoury, MD
• Matthew Richard Aldred
• Blaire Alexander, APRN
• Phylicia Alexander, LMSW
• Keyleigh Alford
• Kylie Alkinburgh

• Dentist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.