Organization Active NPI

Albert a Alfonso DDS PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1053571489
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20647 Issued in TX
Legal business name
ALBERT A ALFONSO DDS PA
Practice address
10926 Grant Rd
Houston, TX 77070-4445
Phone
(281) 807-6555
Fax
(281) 469-5907
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Albert A Alfonso, DDSNPI 1295824753
Title
Owner
Phone
(281) 807-6555

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20647 TX Primary

Addresses

Primary practice location

10926 Grant Rd
Houston, TX 77070-4445

Mailing address

10926 Grant Rd
Houston, TX 77070-4445
Phone (281) 807-6555

Other identifiers 2

IdentifierTypeStateIssuer
147952905MedicaidTX
1295824753OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

10926 Grant Rd
Houston, TX 77070
Phone (281) 807-6555

Practitioners & affiliated clinicians

Practitioners 1

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1053571489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 GRANT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704445",
            "telephone_number": "281-807-6555",
            "fax_number": "281-469-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 GRANT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704445",
            "telephone_number": "281-807-6555",
            "fax_number": "281-469-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT A ALFONSO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-807-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147952905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1295824753",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.