Organization Active NPI

Hayat Ali DDS Inc

  • General Practice Dentistry
  • Mentor, OH
National Provider Identifier
1790955532
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30020566 Issued in OH
Legal business name
HAYAT ALI DDS INC
Practice address
9853 Johnnycake Ridge Rd
Mentor, OH 44060-6700
Phone
(440) 352-6006
Fax
(440) 352-6006
NPI assigned
Mar 7, 2008
Organization subpart
Yes
Parent organization
HAYAT ALI DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Dr. Hayat Ali, DDS
Title
Owner
Phone
(440) 352-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30020566 OH Primary

Addresses

Primary practice location

9853 Johnnycake Ridge Rd
Mentor, OH 44060-6700

Mailing address

9853 Johnnycake Ridge Rd
Mentor, OH 44060-6700
Phone (440) 352-6006

Other identifiers 2

IdentifierTypeStateIssuer
4410OtherDORAL
2003790MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Hayat Ali DDS Inc3 organizations share this tax ID, including this one
Part of
Hayat Ali DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1790955532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9853 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606700",
            "telephone_number": "440-352-6006",
            "fax_number": "440-352-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9853 JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606700",
            "telephone_number": "440-352-6006",
            "fax_number": "440-352-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYAT ALI DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYAT ALI DDS INC",
        "enumeration_date": "2008-03-07",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HAYAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-352-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "4410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003790",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.