Alfonso F Pineyro, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010779 Issued in WA

Practice address

19071 State Hwy 2
Monroe, WA 98272

Phone

(360) 794-8000

Fax

(360) 794-6257

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Monroe Family Dentistry, PLLC

  dba Monroe Family Dentistry

  • Dentist
  • Monroe, WA
  • NPI 1659129625
  NPD (past)
• Ojh Clinic No 3 Inc - Monroe Family Dentistry

  • Dentist
  • Monroe, WA
  • NPI 1962599316
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003020678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 MERIDIAN AVE N",
            "address_2": "#3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "585-507-7784",
            "fax_number": "360-794-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19071 STATE HWY 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-8000",
            "fax_number": "360-794-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEYRO",
        "first_name": "ALFONSO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Petty, ARNP
• Marilyn Lee Philpott, MA, CCC-SLP
• Thepthara Nui Pholsena
• Physicians Anesthesia of Monroe, PLLC
• Daniel Piersee, PHARMD
• William Pittman Jr., MASSAGE PRACTITIONER
• Ranjana Neelam Prasad
• Robert Llewellyn Pratt, D.D.S.
• Proliance Surgeons Inc PS (Evergreen Surgical Clinic)
• Proliance Surgeons Inc., P.S. (Proliance ProOrtho Orthopedics, Sports, Joints and Spine)

• General Practice Dentistry in Monroe, WA
• Providers in Monroe, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.