Ali Al-Douri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401415485 Issued in VA

Practice address

10009 Southpoint Pkwy Ste 201
Fredericksburg, VA 22407-2710

Phone

(540) 237-1700

NPI assigned

Jan 14, 2017

Last updated

Apr 16, 2020By 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 DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Aldouri DDS PLLC

  dba Reform Dentistry

  • Dental Clinic/Center
  • Fredericksburg, VA
  • NPI 1033990890
  NPD Authorized official
• Smileville PLLC

  dba Reform Dentistry

  • Dental Clinic/Center
  • Fredericksburg, VA
  • NPI 1417515180
  Authorized official Same address or phone

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1780120717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 COTTAGE ST",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221806940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 SOUTHPOINT PKWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072710",
            "telephone_number": "540-237-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DOURI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-14",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex England Akman, MD
• Shawn Akram, DO
• Vishal Akula
• Bana Al Haydar, DDS,MS
• Mahmood Ali Al Taie, RPH
• Nadeen Al-Ghandour, OD
• Zukaey Al-Lababidi, DDS
• Jessica Jaw Al-Mashat, M.D.
• Swathi Reddy Ala
• Sonia Alam, MD

• Dentist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.

Verify at the official NPI Registry.