Active NPI
Amr Aly, DMD
- General Practice Dentistry
- Hartford, CT
National Provider Identifier
1750819496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13370
- Practice address
- 50 State House SQ
Hartford, CT 06103-3902 - Phone
- (860) 560-2898
- NPI assigned
- May 25, 2017
- Last updated
- May 3, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927000287 | MA | Order and Referring Only - Dentist | 7214201474 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857571 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutmeg Family Dentistry PC | General Practice | Current | Accepting new patients |
| Align Dental of Manchester PC | Dentist | Past | 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.
-
- Dentist
- Manchester, CT
- NPI 1376279158
-
- General Practice Dentistry
- Hartford, CT
- NPI 1255138186
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.