Aly Moawad Hassan Elsayed, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

58079 Issued in CA

Practice address

1907 Douglas Blvd Ste 74
Roseville, CA 95661-3808

Phone

(916) 773-7259

Fax

(916) 771-3830

NPI assigned

Feb 11, 2009

Last updated

Aug 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1487893640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 BERTOLANI CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587647",
            "telephone_number": "916-773-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 DOUGLAS BLVD STE 74",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613808",
            "telephone_number": "916-773-7259",
            "fax_number": "916-771-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "ALY",
        "middle_name": "MOAWAD HASSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine A. Ellis, MFT
• Madeline Ellis
• Boris D. Ellyason, MD
• Aislynn Elmore
• Thomas Emerson Elmore, PHD
• Steven William Elsea, DC
• Iuliia Elshanskaia
• Mahmoud I. Eltorai, MD
• Emed Transport
• Emergency Neurosurgery Services Medical Group, Inc.

• Dentist in Roseville, CA
• Providers in Roseville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.