Ali Nili, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

DS045013 Issued in PA

Practice address

2112 N Franklin Dr Ste 2
Washington, PA 15301-5874

Phone

(724) 223-0579

NPI assigned

Jul 14, 2021

Last updated

May 30, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dentist

Education

Nova Southeastern Univ College of Dental Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Western Pennsylvania Oral and Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, PA
  • NPI 1578767463
  Medicare reassignment NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1720650203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N FRANKLIN DR STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015874",
            "telephone_number": "724-223-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N FRANKLIN DR STE 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015874",
            "telephone_number": "724-223-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuronest Collective LLC
• T David Newman
• Bianca Moray Niccolai
• Katelyn Michelle Nichilo, FNP-C
• Zeina Dalu Nieto, M.D.
• Kevin Ryan Nipar, PHARMD
• Michael Nixon, LPC
• Allyson O'Connell, CRNP
• Nathaniel David O'Leary, MD
• Yvonne E Oberle, CFNP

• Dentist in Washington, PA
• Providers in Washington, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.