Active NPI
Rubina Ali, DMD
- Dentist
- East Hartford, CT
National Provider Identifier
1699836494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009436
- Practice address
- 775 Main St
East Hartford, CT 06108-3123 - Phone
- (860) 216-3585
- Fax
- (860) 216-3589
- NPI assigned
- Dec 13, 2006
- Last updated
- Oct 3, 2014
- Sex
- Female
- 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 | 009436 | CT | Primary |
Addresses
Primary practice location
775 Main St
East Hartford, CT 06108-3123
Mailing address
775 Main St
East Hartford, CT 06108-3123
Phone (860) 216-3585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008003357 | Medicaid | CT |
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 |
|---|---|---|---|
| 009436 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1699836494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083123",
"telephone_number": "860-216-3585",
"fax_number": "860-216-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 MAIN ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083123",
"telephone_number": "860-216-3585",
"fax_number": "860-216-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "RUBINA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "009436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008003357",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.