NOOR ALZAHRAA ALI, DMD — NPI 1366152977 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in GEORGETOWN, KY)

CMS-1500 Box 24J / 33a • NPI

1366152977

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

122300000X (CMS C5)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

450 CONNECTOR RD # 200, GEORGETOWN, KY, 40324-9729

✓ 9-Digit EDI 837 ZIP+4 (40324-9729)

Practice Phone & Referral Fax

(502) 316-6490

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366152977 (NOOR ALZAHRAA ALI, DMD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1366152977` (NPI-1 Individual Practitioner)
Provider / Legal Name	NOOR ALZAHRAA ALI, DMD
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `122300000X` (Dentist)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	450 CONNECTOR RD # 200, GEORGETOWN, KY, 40324-9729
Practice Telephone / Fax	Tel: (502) 316-6490
Administrative Mailing Address	3753 WINTHROP DR, LEXINGTON, KY, 40514-1748
Enumeration & Last Sync	Enumerated: 2022-12-05 \| CMS Record Updated: 2024-10-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

450 CONNECTOR RD # 200, GEORGETOWN, KY, 40324-9729

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Plain-English Taxonomy & CMS Crosswalk (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NOOR ALZAHRAA ALI, DMD)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: KY \| License: `11246` \| Primary: Yes (Primary)

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NOOR ALZAHRAA ALI, DMD (NPI #1366152977)