Mohd-Taha Ali, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

40587 Issued in TX

Practice address

100 Forrest Ter
Marshall, TX 75670-6804

Phone

(903) 938-8315

NPI assigned

Jun 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Marshall Family Dental PLLC

  • General Practice Dentistry
  • Marshall, TX
  • NPI 1861749970
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1689418097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARKETPLACE DR APT 115",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767112433",
            "telephone_number": "254-717-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FORREST TER",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706804",
            "telephone_number": "903-938-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MOHD-TAHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Adolph, MOT
• Advance Counseling and Therapy
• Advocate Medical Services, LLC
• Gordon Keith Alcox, MD
• Lia Alexander, PHARMD
• Valarie L. Allman, M.D.
• Alpha First Dental Clinic P.a
• Donna M Alzaga, M.D.
• Belinda M Anderson, RN, MSN, MBA, FNP-BC
• Katina Lynette Anderson, RN

• Dentist in Marshall, TX
• Providers in Marshall, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.