Alexander Russell McGeoch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29368 Issued in CA

Practice address

1870 N High St
Lakeport, CA 95453-3615

Phone

(707) 263-5427

Fax

(707) 263-3925

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 4, 2015 through Aug 4, 2027

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.

• Alexander R. McGeoch, DDS, Apc

  • Dental Clinic/Center
  • Lakeport, CA
  • NPI 1033384326
  NPD (past) Authorized official
• Christopher O. Torres, DDS, P.C.

  • Dental Clinic/Center
  • Lakeport, CA
  • NPI 1669079117
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003989989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N HIGH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533615",
            "telephone_number": "707-263-5427",
            "fax_number": "707-263-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N HIGH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533615",
            "telephone_number": "707-263-5427",
            "fax_number": "707-263-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEOCH",
        "first_name": "ALEXANDER",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lemuel Campomanes Martin, PT
• Nicole R Martinez, REGISTERED NURSE
• Kacey Mather, LMFT
• Matthew McQuaid, DPM, Inc.
• Helen Kate McAllister, PHD
• Kevin A. McGeoch, LCSW
• Alina McLeran
• Sabrina McLeran
• Matthew McQuaid, DPM
• Jetta Meadows, ASW

• General Practice Dentistry in Lakeport, CA
• Providers in Lakeport, CA by specialty
• General Practice Dentistry in California

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.