Organization Active NPI

Alexandra Hansen DMD Inc.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1043023310
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEXANDRA HANSEN DMD INC.
Practice address
3737 Moraga Ave Ste B400
San Diego, CA 92117-5365
Phone
(858) 274-8900
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Alexandra HansenNPI 1174131296
Title
Owner
Phone
(707) 540-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3737 Moraga Ave Ste B400
San Diego, CA 92117-5365

Mailing address

3737 Moraga Ave Ste B400
San Diego, CA 92117-5365

Other names 1

  • Bayside Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3737 Moraga Ave
Ste B400
San Diego, CA 92117
Phone (858) 274-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1043023310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175365",
            "telephone_number": "858-274-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA HANSEN DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-540-3444"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.