Ali Altak

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0442000563 Issued in VA

Practice address

520 N 12TH St
Richmond, VA 23298-5064

Phone

(336) 355-4554

NPI assigned

Aug 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adams School of Dentistry

  • Dental Clinic/Center
  • Chapel Hill, NC
  • NPI 1972349710
  NPD
• Carlos Rodriguez DMD PLLC

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1942137278
  NPD (past)
• Unc School of Dentistry

  • Dentist
  • Chapel Hill, NC
  • NPI 1255783197
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1477109486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E FRANKLIN ST APT B202",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "336-355-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 S Columbia Street",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-537-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAK",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "151262",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12982",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0442000563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssia Symone Alston, LCSW
• Deneatrice Monique Alston, HOME HEALTHCARE AIDE
• Emily Alston
• Janneil Alston
• Tira V Alston, RDH
• Sandra Altarawneh, DDS, MS
• Yusur Altekreeti
• Kathryn Satterfield Alter, CCC/SLP
• Alternative Interventions Family Services
• Alternative Interventions Family Services LLC

• Prosthodontics in Richmond, VA
• Providers in Richmond, VA by specialty
• Prosthodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.

Verify at the official NPI Registry.