Tumouh Talib Al-Allaq, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

LL814 Issued in MD

Practice address

503 Muir St Ste a
Cambridge, MD 21613-1848

Phone

(410) 228-9381

Fax

(833) 916-1011

NPI assigned

Dec 20, 2010

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

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

Enrolled in MD

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

Interoperability endpoints

• Direct secure messaging: al-allaq.tumouh.1@20853.direct.athenahealth.com

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1497058051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-9381",
            "fax_number": "339-161-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-9381",
            "fax_number": "833-916-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12165 Elm St",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218531358",
            "country_code": "US",
            "telephone_number": "410-651-5151",
            "fax_number": "410-651-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-ALLAQ",
        "first_name": "TUMOUH",
        "middle_name": "TALIB",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "LL814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adventist Healthcare, Inc (Adventist HealthCare Behavioral Health & Wellness Services)
• Adventist Healthcare, Inc (Adventist HealthCare Behavioral Health & Wellness Services)
• Affiliated Sante Group
• Agnprx LLC
• Mahbuba Akhter, MD
• Allan a Anderson MD LLC
• Lillian Alison Allen, PHARMD RPH
• Farah Alli, MD
• Andres Manuel Alvarez Deal, DMD
• Sohail Aman, MD

• General Practice Dentistry in Cambridge, MD
• Providers in Cambridge, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.