Alexander William Pollock

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103950 Issued in CA

Practice address

36068 Hidden Springs Rd Ste H
Wildomar, CA 92595-7681

Phone

(951) 678-0790

NPI assigned

Jul 8, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• DO-Yabut and Watanabe Dental Corporation

  • General Practice Dentistry
  • Wildomar, CA
  • NPI 1477652618
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1013579218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27357 RUBY GRASS CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36068 HIDDEN SPRINGS RD STE H",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957681",
            "telephone_number": "951-678-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ALEXANDER",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Pieters
• Carrine S Pilkington, MS, BCBA, LMFT
• Savannah Pineda
• Denisa Pirvu, NP
• Favian Pliego Castaneda
• Cynthia Pouchie
• Korbyn Wesley Pounds
• Glennise Daneen Pratt, PA-C
• Jada Prevost
• Jordyn Price

• General Practice Dentistry in Wildomar, CA
• Providers in Wildomar, 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, 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.