Organization Active NPI

Ali Ismail DDS PLLC

  • General Practice Dentistry
  • Canton, MI
National Provider Identifier
1891255964
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALI ISMAIL DDS PLLC
Practice address
8701 N Sheldon Rd
Canton, MI 48187-1970
Phone
(734) 451-1188
NPI assigned
Mar 23, 2019
Last updated
Mar 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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

Authorized official

Name
Dr. Ali Ismail, DDSNPI 1154747095
Title
Sole Member
Phone
(248) 520-0456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8701 N Sheldon Rd
Canton, MI 48187-1970

Mailing address

41920 Wolfe Pass
Novi, MI 48377-2867
Phone (248) 520-0456

Other identifiers 2

IdentifierTypeStateIssuer
1023421963OtherMIDENTIST
1154747095OtherMIDENTIST

National Provider Directory

National Provider Directory

Locations

8701 N Sheldon Rd
Canton, MI 48187
Phone (734) 451-1188

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553299200000",
    "number": "1891255964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41920 WOLFE PASS",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772867",
            "telephone_number": "248-520-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 N SHELDON RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871970",
            "telephone_number": "734-451-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI ISMAIL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-520-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1023421963",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1154747095",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.