Alexander John Debernardo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

37477 Issued in TX

Practice address

9002 Six Pines Dr
Suite #142
Shenandoah, TX 77380

Phone

(609) 320-8618

Fax

(346) 371-4678

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 and National Provider Directory roles.

• The University of Texas Health Science Center at Houston

  • General Practice Dentistry
  • Houston, TX
  • NPI 1265561245

  Dentist

  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1003411752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 SIX PINES DR",
            "address_2": "SUITE #142",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "609-320-8618",
            "fax_number": "346-371-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 SIX PINES DR",
            "address_2": "SUITE #142",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "609-320-8618",
            "fax_number": "346-371-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERNARDO",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "37477",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "ETN741",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Steven Davis, AGACNP
• Nicole Day, OTR
• Dcoa Physician Associates PA
• Marina Paz De Jesus
• Rodrigo De la Cotera Jule, M.D.
• Paul Wayne Decker, MD
• Stacie Craft Defreitas, LP, PH.D.
• Dejean & Kuglen Eye Associates, LLP
• Delacotera Health Care Association
• Kaitlyn Deleon, LPC

• All providers in Shenandoah, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.