Individual provider Active NPI

Amr Aly, DMD

  • General Practice Dentistry
  • Hartford, CT
National Provider Identifier
1750819496
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13370 Issued in CT
Practice address
50 State House SQ
Hartford, CT 06103-3902
Phone
(860) 560-2898
NPI assigned
May 25, 2017
Last updated
May 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1857571 MA
General Practice Dentistry 1223G0001X 13370 CT Primary

Addresses

Primary practice location

50 State House SQ
Hartford, CT 06103-3902

Mailing address

50 State House SQ
Hartford, CT 06103-3902
Phone (860) 560-2898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20170927000287 MA Order and Referring Only - DentistPractitioner - Dentist 7214201474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857571MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nutmeg Family Dentistry PC General Practice CurrentSince Mar 11, 2025 Accepting new patients
Align Dental of Manchester PC Dentist PastSince Sep 1, 2022 Accepting new patients

Locations

50 State House Sq
Hartford, CT 06103
Phone (860) 522-9622

50 State House Sq
Fl 1
Hartford, CT 06103

Organizations & group practices 2

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1750819496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STATE HOUSE SQ",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061033902",
            "telephone_number": "860-560-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STATE HOUSE SQ",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061033902",
            "telephone_number": "860-560-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALY",
        "first_name": "AMR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857571",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.