Individual provider Active NPI

Martin Joel Alpert, DMD

  • Dentist
  • Altamonte Springs, FL
National Provider Identifier
1033229786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5145 Issued in FL
Practice address
100 Lakeshore Dr
112
Altamonte Springs, FL 32714-5012
Phone
(407) 869-0001
Fax
(407) 869-0345
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5145 FL Primary

Addresses

Primary practice location

100 Lakeshore Dr
112
Altamonte Springs, FL 32714-5012

Mailing address

100 Lakeshore Dr
112
Altamonte Springs, FL 32714-5012
Phone (407) 869-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150625000717 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3173575776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5145FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cathy Kwong PLLC Past Accepting new patients

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033229786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKESHORE DR",
            "address_2": "112",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145012",
            "telephone_number": "407-869-0001",
            "fax_number": "407-869-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKESHORE DR",
            "address_2": "112",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327145012",
            "telephone_number": "407-869-0001",
            "fax_number": "407-869-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "MARTIN",
        "middle_name": "JOEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.