Active NPI
Ali Mazin Alqaysi, DMD
- Dentist
- Naperville, IL
National Provider Identifier
1669103768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.033802
- Practice address
- 1767 W Ogden Ave Ste 123
Naperville, IL 60540-3956 - Phone
- (630) 983-2600
- NPI assigned
- Jun 20, 2022
- Last updated
- Jun 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033802 | IL | Primary |
Addresses
Primary practice location
1767 W Ogden Ave Ste 123
Naperville, IL 60540-3956
Mailing address
24859 Heritage Oaks Dr
Plainfield, IL 60585-5698
Phone (224) 381-1708
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033802 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Dental PC | Current | Accepting new patients |
Locations
1730 Park St
Ste 106
Naperville, IL 60563
1767 W Ogden Ave
Ste 123
Naperville, IL 60540
Phone (630) 983-2600
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": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1669103768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24859 HERITAGE OAKS DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605855698",
"telephone_number": "224-381-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 W OGDEN AVE STE 123",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605403956",
"telephone_number": "630-983-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALQAYSI",
"first_name": "ALI",
"middle_name": "MAZIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.