Individual provider Active NPI

Mustafa Alani, DDS

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1376053595
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22992 Issued in FL
Practice address
9310 Old Kings Rd S Ste 601
Jacksonville, FL 32257-6178
Phone
(904) 442-1944
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN22992 FL
General Practice Dentistry 1223G0001X DN22992 FL Primary

Addresses

Primary practice location

9310 Old Kings Rd S Ste 601
Jacksonville, FL 32257-6178

Mailing address

9310 Old Kings Rd S Ste 601
Jacksonville, FL 32257-6178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20171120003766 FL Order and Referring Only - DentistPractitioner - Dentist 3779840137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22992FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alani Dental PLLC General Practice Current Accepting new patients

Locations

9310 Old Kings Rd S
Ste 601
Jacksonville, FL 32257
Phone (904) 442-1944

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1376053595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576178",
            "telephone_number": "904-442-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANI",
        "first_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN22992",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.