Kevin Jalali, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9299 Issued in NC

Practice address

1818 Lombardy Cir
Charlotte, NC 28203-6056

Phone

(704) 727-7500

NPI assigned

Jun 1, 2012

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Kevin Jalali PLLC

  dba East Blvd Dentistry

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1467167262
  NPD Authorized official
• Keyvan Jalali D.D.S., PLLC

  dba Premier Dentistry

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1265876528
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1922369354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 LOMBARDY CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036056",
            "telephone_number": "704-727-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 LOMBARDY CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036056",
            "telephone_number": "704-727-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALI",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@eastblvddentistry.com",
            "affiliation": "N",
            "endpointDescription": "Secure Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure office email only",
            "address_1": "1818 Lombardy Cir",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282036056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Setoo Jain, PT, MPT
• Amruta Surendra Jaju
• Hanna Lyn Jakobek, NP
• Joseph T. Jakubek, D.D.S., PA
• Mark Charles Jakubisin, PA
• Navid Jalali, MD
• Kerly J. Jalon, LCSW
• Ahmed Jama
• Ahmed Mohamed Jama
• Omer Jama

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.