Alexandra Nicole Cleveland

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025375 Issued in OH

Practice address

1 Special Operations Medical Group At113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Phone

(707) 423-3000

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1013406412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPECIAL OPERATIONS MEDICAL GROUP 113 LIELMANIS AVE",
            "city": "HURLBURT FIELD AFB",
            "state": "FL",
            "postal_code": "32544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPECIAL OPERATIONS MEDICAL GROUP AT113 LIELMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "325445613",
            "telephone_number": "707-423-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.n.cleveland.mil@mail.mil",
            "affiliation": "N",
            "address_1": "113 Lielmanis Ave",
            "city": "Hurlburt Field",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325445613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Whay-Yih Cheng, DO
• Eric M Chumbley, MD
• Teresa Clark, LCSW, QS
• Brian Michael Clement, DDS
• Roselyn Jan Wuthrich Clemente Fuentes, M.D.
• Tyrus Colbert
• Nigel Contaste, IDMT
• Cope and Wit Counseling
• Allison M Cope, CADC
• Franklin Cordon

• General Practice Dentistry in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.