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

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 and National Provider Directory roles.

• Aldouri DDS PLLC

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

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

• All providers in Fredericksburg, VA
• 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.