Individual provider Active NPI

Nehal Ali, D.D.S.

  • Dentist
  • Pompano Beach, FL
National Provider Identifier
1588711568
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018118 Issued in MI
Practice address
2323 NE 26TH Ave Ste 110
Pompano Beach, FL 33062-1147
Phone
(754) 238-1038
Fax
(754) 283-1038
NPI assigned
Jan 4, 2007
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018118 MI Primary

Addresses

Primary practice location

2323 NE 26TH Ave Ste 110
Pompano Beach, FL 33062-1147

Mailing address

2323 NE 26TH Ave Ste 110
Pompano Beach, FL 33062-1147
Phone (754) 238-1038

Other identifiers 3

IdentifierTypeStateIssuer
000 000 301 167OtherMIUNITED HEALTH CARE ID
00D181 1800OtherMIBCBS PIN NUMBER
4910434MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901018118MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Gentle Dentistry, PLLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

2323 NE 26th Ave
Ste 110
Pompano Beach, FL 33062
Phone (754) 238-1038

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1588711568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NE 26TH AVE STE 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621147",
            "telephone_number": "754-238-1038",
            "fax_number": "754-238-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NE 26TH AVE STE 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621147",
            "telephone_number": "754-238-1038",
            "fax_number": "754-283-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "NEHAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID",
            "identifier": "000 000 301 167",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "00D181 1800",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4910434",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.