Active NPI
Ali Ahmed Al-Rubaye
- Dentist
- Everett, MA
National Provider Identifier
1700427978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858498
- Practice address
- 285 Main St # 5719
Everett, MA 02149-5719 - Phone
- (617) 207-0705
- NPI assigned
- Sep 30, 2019
- Sex
- Male
- Sole proprietor
- No
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 | DN1858498 | MA | Primary |
Addresses
Primary practice location
285 Main St # 5719
Everett, MA 02149-5719
Mailing address
8 Wasilla Dr
Worcester, MA 01604-2411
Phone (978) 905-1912
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 |
|---|---|---|---|
| DN1858498 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1700427978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WASILLA DR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016042411",
"telephone_number": "978-905-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 MAIN ST # 5719",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495719",
"telephone_number": "617-207-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-RUBAYE",
"first_name": "ALI",
"middle_name": "AHMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.