Organization Active NPI

Dr Ali Soulati DDS LLC

  • General Practice Dentistry
  • Easton, MD
National Provider Identifier
1992977235
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13057 Issued in MD
Legal business name
DR ALI SOULATI DDS LLC
Practice address
508 Cynwood Dr Ste a
Easton, MD 21601-3892
Phone
(410) 819-0060
Fax
(410) 819-0031
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Ali Soulati, DDSNPI 1306822796
Title
Dentist/Owner
Phone
(410) 819-0060

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13057 MD Primary

Addresses

Primary practice location

508 Cynwood Dr Ste a
Easton, MD 21601-3892

Mailing address

508 Cynwood Dr Ste a
Easton, MD 21601-3892
Phone (410) 819-0060

Other identifiers 1

IdentifierTypeStateIssuer
1306822796OtherMDIND NPI

National Provider Directory

National Provider Directory

Locations

508 Cynwood Dr
Ste A
Easton, MD 21601
Phone (410) 819-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1992977235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CYNWOOD DR STE A",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013892",
            "telephone_number": "410-819-0060",
            "fax_number": "410-819-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CYNWOOD DR STE A",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013892",
            "telephone_number": "410-819-0060",
            "fax_number": "410-819-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALI SOULATI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SOULATI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "410-819-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1306822796",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.