Individual provider Active NPI

Ali H Nia, D.M.D.

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1578787461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4000 Issued in AZ
Practice address
1930 S Dobson Rd Ste 1
Mesa, AZ 85202-5657
Phone
(480) 730-0500
Fax
(480) 730-0525
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4000 AZ Primary

Addresses

Primary practice location

1930 S Dobson Rd Ste 1
Mesa, AZ 85202-5657

Mailing address

1930 S Dobson Rd Ste 1
Mesa, AZ 85202-5657
Phone (480) 730-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161103000994 AZ Order and Referring Only - DentistPractitioner - Dentist 6204114747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4000AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Ali H. Nia, D.M.D., P.C. General Practice Past Accepting new patients
Mesa Dental Care General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578787461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S DOBSON RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025657",
            "telephone_number": "480-730-0500",
            "fax_number": "480-730-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S DOBSON RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025657",
            "telephone_number": "480-730-0500",
            "fax_number": "480-730-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIA",
        "first_name": "ALI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.