Individual provider Active NPI

Safaa Dali, DDS

  • General Practice Dentistry
  • Angier, NC
National Provider Identifier
1497495139
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13553 Issued in NC
Practice address
15 Rawls Rd
Angier, NC 27501-6276
Phone
(919) 639-2272
Fax
(919) 639-8654
NPI assigned
Mar 30, 2022
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 13553 NC Primary

Addresses

Primary practice location

15 Rawls Rd
Angier, NC 27501-6276

Mailing address

317 Irelan Dr
Raleigh, NC 27606-1123
Phone (919) 987-5015

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240314001244 NC Order and Referring Only - DentistPractitioner - Dentist 6002252913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1497495139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 IRELAN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061123",
            "telephone_number": "919-987-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAWLS RD",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275016276",
            "telephone_number": "919-639-2272",
            "fax_number": "919-639-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALI",
        "first_name": "SAFAA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, NC

Sources for this page

Verify at the official NPI Registry.