Xena Alakailly
Individual provider Active NPI Dentist · Lyndhurst, OH
NPI 1356791180 · NPPES record last updated Aug 22, 2016
Key facts
- NPI
- 1356791180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.24801 (OH)
- Practice address
- 5593 Mayfield Rd
Lyndhurst, OH 44124-2927 - Phone
- (440) 845-7900
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2025 through May 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.24801 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.24801 | OH | Yes |
Addresses
Primary practice location
5593 Mayfield Rd
Lyndhurst, OH 44124-2927
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3613
Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.