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ALI ALTAK
NPI 1477109486
Dentist - Prosthodontics in Richmond, VA

Active since August 15, 2019PECOS Enrolled
520 N 12TH ST, RICHMOND, VA 23298(336) 355-4554 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2022, Aug 15, 2019 (2 updates tracked since 2019).

About Ali Altak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI ALTAK (NPI 1477109486) is an individual prosthodontics provider in Richmond, Virginia, licensed in Virginia (0442000563) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1477109486
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameALI ALTAK
Location Address520 N 12TH STRichmond, VA 23298-5064
Mailing Address1521 E Franklin St Apt B202Chapel Hill, NC 27514-2804
Phone(336) 355-4554
Sole ProprietorNo
Enumeration DateAugust 15, 2019
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1477109486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in VA · 0442000563
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 151262 (NC), 12982 (NC)
520 N 12TH ST, Richmond, VA 23298
Open in Google Maps ↗

Secondary Practice Location 1

Location 1385 S Columbia StreetChapel Hill, NC 27599-0001 · Phone (919) 537-3737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ali Altak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAHRZAD ORENDUFF D.D.S.
Dentist (General Practice)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
DR. JESSICA GILL DDS
Dentist
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 571-0357
DR. DEAN M DELUKE DDS
Oral & Maxillofacial Surgery
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 628-6637
SAMUEL TACK
Dentist (Oral and Maxillofacial Surgery)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 628-7146
BRANDON KHOR
Student in an Organized Health Care Education/Training Program
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
ALI REZA MOJARAD DDS
Dentist
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
WILLIAM BANKS LEE DMD
Student in an Organized Health Care Education/Training Program
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9190
DR. NITYA REDDY DDS
Dentist (Periodontics)
520 N 12TH ST
RICHMOND, VA 23298
Richmond City (804) 828-9356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Altak's NPI number?

The NPI number for Ali Altak is 1477109486. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Ali Altak located?

Ali Altak practices at 520 N 12th St, Richmond, VA 23298. The listed phone number is (336) 355-4554.

What is Ali Altak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Ali Altak enrolled in Medicare?

Yes. Ali Altak is registered in the Medicare PECOS enrollment system.

What insurance does Ali Altak accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Ali Altak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ali Altak was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.