Individual provider Active NPI

Loiy Naim Ismail Alshami, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Athens, GA
National Provider Identifier
1457785362
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN122517 Issued in GA
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

Updated by the provider on Oct 9, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724011330 OH Practitioner - Oral Surgery 8820301450 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RES.3279OHMDDentist
30.024548OHMDGeneral Practice Dentistry
DN122517GAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jul 1, 2015 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2015 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.

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

Verify at the official NPI Registry.