Individual provider Active NPI

A. Sherriff Farouk Ali, DDS

  • General Practice Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1376960583
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN21831 Issued in FL
Practice address
27446 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6917
Phone
(813) 328-1825
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21831 FL Primary

Addresses

Primary practice location

27446 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6917

Mailing address

1005 Emerald Creek Dr
Valrico, FL 33596-7195
Phone (202) 492-5801

Other practice location 1

1406 Pinehurst Dr
Spring Hill, FL 34606-4553
Phone (352) 686-1007

Other names 1

  • Dr. Ahmad Sherriff Farouk Ali Other name

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
I20170216001348 FL Order and Referring Only - DentistPractitioner - Dentist 9032492053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1376960583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 EMERALD CREEK DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967195",
            "telephone_number": "202-492-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27446 CASHFORD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446917",
            "telephone_number": "813-328-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Pinehurst Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346064553",
            "country_code": "US",
            "telephone_number": "352-686-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "A. SHERRIFF",
        "middle_name": "FAROUK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMAD SHERRIFF",
            "last_name": "ALI",
            "middle_name": "FAROUK",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.