Active NPI
Ali Altameemi, D.D.S
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1710339130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32650
- Practice address
- 5706 San Felipe St Ste B300
Houston, TX 77057-3241 - Phone
- (832) 916-4144
- Fax
- (832) 827-7461
- NPI assigned
- Jul 9, 2016
- Last updated
- Jan 7, 2021
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32650 | TX | Primary |
Addresses
Primary practice location
5706 San Felipe St Ste B300
Houston, TX 77057-3241
Mailing address
5706 San Felipe St Ste B300
Houston, TX 77057-3241
Phone (832) 916-4144
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170707001325 | TX | Order and Referring Only - Dentist | 8123397155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32650 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLS Dental PLLC | Dentist | Current | Accepting new patients |
| SLC Dental, PLLC | General Practice | Past | Accepting new patients |
| Nanno PLLC | General Practice | Past | Accepting new patients |
Locations
5706 San Felipe St
Ste B300
Houston, TX 77057
Phone (832) 916-4144
Organizations & group practices 3
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": "1468022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1710339130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 SAN FELIPE ST STE B300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770573241",
"telephone_number": "832-916-4144",
"fax_number": "832-827-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 SAN FELIPE ST STE B300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770573241",
"telephone_number": "832-916-4144",
"fax_number": "832-827-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMEEMI",
"first_name": "ALI",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-09",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.