Individual provider Active NPI

Abdul Rahman Alas, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1467525337
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D48214 Issued in CA
Practice address
4470 Ming Ave
Bakersfield, CA 93309-4800
Phone
(661) 833-6135
Fax
(661) 833-6538
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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 D48214 CA Primary

Addresses

Primary practice location

4470 Ming Ave
Bakersfield, CA 93309-4800

Mailing address

4470 Ming Ave
Bakersfield, CA 93309-4800
Phone (661) 833-6135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160606001348 CA Order and Referring Only - DentistPractitioner - Dentist 4789974676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D48214CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alas Dental Corp General Practice Past Accepting new patients

Organizations & group practices 1

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1467525337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094800",
            "telephone_number": "661-833-6135",
            "fax_number": "661-833-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 MING AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094800",
            "telephone_number": "661-833-6135",
            "fax_number": "661-833-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAS",
        "first_name": "ABDUL",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D48214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.