Active NPI
Loiy Naim Ismail Alshami, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Athens, GA
National Provider Identifier
1457785362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN122517
- Practice address
- 910 US-29 N
Athens, GA 30600 - Phone
- (706) 389-1301
- NPI assigned
- Aug 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | RES.3279 | OH | |
| General Practice Dentistry | 1223G0001X | 30.024548 | OH | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN122517 | GA | Primary |
Addresses
Primary practice location
910 US-29 N
Athens, GA 30600
Mailing address
910 US-29 N
Athens, GA 30601
Phone (706) 389-1301
Other practice location 1
1313 W Bogart Rd Ste D
Sandusky, OH 44870
Phone (419) 627-1255
Other practice location 2
2500 MetroHealth Dr.
Cleveland, OH 44109
Phone (216) 778-4725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RES.3279 | OH | MD | Dentist |
| 30.024548 | OH | MD | General Practice Dentistry |
| DN122517 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Past | Accepting new patients |
Locations
4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Health Educator
- Cleveland, OH
- NPI 1609434323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1457785362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 US-29 N",
"city": "ATHENS",
"state": "GA",
"postal_code": "30601",
"telephone_number": "706-389-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 US-29 N",
"city": "ATHENS",
"state": "GA",
"postal_code": "30600",
"telephone_number": "706-389-1301"
}
],
"practiceLocations": [
{
"address_1": "1313 W Bogart Rd Ste D",
"address_purpose": "LOCATION",
"city": "Sandusky",
"state": "OH",
"postal_code": "44870",
"country_code": "US",
"telephone_number": "419-627-1255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 MetroHealth Dr.",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44109",
"country_code": "US",
"telephone_number": "216-778-4725",
"fax_number": "216-778-8026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSHAMI",
"first_name": "LOIY",
"middle_name": "NAIM ISMAIL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2024-10-09",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "RES.3279",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.024548",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN122517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.