Individual provider Active NPI

Alejandro Alonso

  • General Practice Dentistry
  • Socorro, TX
National Provider Identifier
1003823964
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34409 Issued in TX
Practice address
10725 N Loop Dr Ste 104
Socorro, TX 79927-4627
Phone
(347) 520-0318
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34409 TX Primary

Addresses

Primary practice location

10725 N Loop Dr Ste 104
Socorro, TX 79927-4627

Mailing address

10725 N Loop Dr Ste 104
Socorro, TX 79927-4627
Phone (347) 520-0318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34409TXMDGeneral Practice Dentistry

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Sunray Family Dentistry PLLC General Practice CurrentSince Feb 6, 2022 Accepting new patients
Sunray Family Dentistry Central PLLC Current Accepting new patients

Locations

10725 N Loop Dr
Ste 104
Socorro, TX 79927
Phone (347) 520-0318

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1003823964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 N LOOP DR STE 104",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274627",
            "telephone_number": "347-520-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 N LOOP DR STE 104",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274627",
            "telephone_number": "347-520-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.