Gomez Alie DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14358 Issued in MD

Legal business name

GOMEZ ALIE DDS

Practice address

3370 Urbana Pike
Ijamsville, MD 21754-9435

Phone

(301) 810-2172

NPI assigned

Apr 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Riaaz Naeem Alie, D.D.SNPI 1194041863

Title

Owner/Dentist

Phone

(301) 810-2172

Specialties & licenses 1

Addresses

Other names 1

• Urbana Family Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riaaz Naeem Alie, D.D.S

  • General Practice Dentistry
  • Ijamsville, MD
  • NPI 1194041863

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493510400000",
    "number": "1487189296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 CLAYHALL ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786501",
            "telephone_number": "301-518-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 URBANA PIKE",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549435",
            "telephone_number": "301-810-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ ALIE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A",
        "authorized_official_last_name": "ALIE",
        "authorized_official_first_name": "RIAAZ",
        "authorized_official_middle_name": "NAEEM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-810-2172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbana Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ijamsville, MD
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.