Ali Jarrar

Primary specialty

DentistTaxonomy code 122300000X

License

019031445 Issued in IL

Practice address

2701 N Dirksen Pkwy
Springfield, IL 62702-1407

Phone

(217) 717-3293

NPI assigned

Nov 10, 2017

Last updated

Nov 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alina Healthcare

  • Dental Clinic/Center
  • Flint, MI
  • NPI 1568299089
  NPD Authorized official

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1720591837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 N ROSEMARY LN",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DIRKSEN PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627021407",
            "telephone_number": "217-717-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRAR",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031445",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Janiec
• David Janisch
• Sherry Ann Jankuski, OTR/L
• Daniel Janssen
• Natalie Jaramillo
• Ashley Jarrett, PHARMD
• Tonee Jarrett
• Mariam Jashi, MD
• Tornike Jashi, M.D.
• Katherine Eileen Jasmon, MA

• Dentist in Springfield, IL
• Providers in Springfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.