Individual provider Active NPI

Farah Ali, DDS

  • Pediatric Dentistry
  • Allentown, PA
National Provider Identifier
1407364458
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS041582 Issued in PA
Practice address
1525 Hausman Rd
Allentown, PA 18104-9258
Phone
(610) 433-5111
NPI assigned
Jan 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DL13670 MA
Dentist 122300000X DS041582 PA
Pediatric Dentistry 1223P0221X DS041582 PA Primary

Addresses

Primary practice location

1525 Hausman Rd
Allentown, PA 18104-9258

Mailing address

3350 S Bay Hill Dr
Center Valley, PA 18034-8459
Phone (848) 667-0293

Other practice location 1

1247 S Cedar Crest Blvd Ste 300
Allentown, PA 18103-6358
Phone (610) 628-1228

Other practice location 2

230 Maple St
Holyoke, MA 01040-5144
Phone (413) 420-2207

Other practice location 3

235 S Pottstown Pike
Exton, PA 19341-2747
Phone (610) 363-8872

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

LicenseStateTypeSpecialty
DL13670MAMDDentist
DS041582PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Easton Pediatric Dentistry LLC Pediatric Dentistry CurrentSince Sep 23, 2024 Accepting new patients
Tickle Tooth Dental Dentist PastSince Feb 1, 2021 Accepting new patients
Tickle Tooth Holdings P.C. Pediatric Dentistry PastSince Feb 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1407364458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 S BAY HILL DR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348459",
            "telephone_number": "848-667-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HAUSMAN RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049258",
            "telephone_number": "610-433-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1247 S Cedar Crest Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036358",
            "country_code": "US",
            "telephone_number": "610-628-1228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Maple St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010405144",
            "country_code": "US",
            "telephone_number": "413-420-2207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S Pottstown Pike",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412747",
            "country_code": "US",
            "telephone_number": "610-363-8872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13670",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041582",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS041582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.