Ali Reza Elyassi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13731 Issued in MD

Practice address

7525 Greenway Center Dr
Suite 109
Greenbelt, MD 20770-3509

Phone

(301) 982-4555

Fax

(301) 982-4557

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 2, 2026 through Apr 2, 2028

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Elyassi'S Greenbelt Oral and Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Greenbelt, MD
  • NPI 1316310634
  NPD Authorized official

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1447235940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 109",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-982-4555",
            "fax_number": "301-982-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 109",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-982-4555",
            "fax_number": "301-982-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYASSI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13731",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "HI",
            "license": "DT-2283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Ekpata
• Joan T Ekwi
• Elite Root Canal Specialties
• Elites Care LLC
• Zachary M Eller, M.D., M.S.
• Elyassi'S Greenbelt Oral and Facial Surgery
• Eric R Emanuel, M.D.
• Ember and Company Therapy LLC
• Amarachi J Emedom
• Nnaemeka Nwachinemere Emenari, PHARMD

• General Practice Dentistry in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.