Individual provider Active NPI

Rand Thabet Mousa Alkhaldi

  • Dentist
  • New York, NY
National Provider Identifier
1659101509
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.028537 Issued in OH
Practice address
345 E. 24TH Street
New York, NY 10010
Phone
(212) 998-9800
NPI assigned
Aug 6, 2024
Reactivated
Jul 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.028537 OH Primary

Addresses

Primary practice location

345 E. 24TH Street
New York, NY 10010

Mailing address

4900 Aspen Pine Blvd
Dublin, OH 43016-9340
Phone (646) 384-4361

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1659101509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 ASPEN PINE BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169340",
            "telephone_number": "646-384-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E. 24TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-998-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHALDI",
        "first_name": "RAND",
        "middle_name": "THABET MOUSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "deactivation_date": "2025-07-30",
        "reactivation_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.