John Paul Alley, D.D.S.
Individual provider Active NPI General Practice Dentistry · Placentia, CA
NPI 1093930992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093930992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 21844 (CA)
- Practice address
- 300 E Yorba Linda Blvd
Ste E
Placentia, CA 92870-2910 - Phone
- (714) 524-0207
- Fax
- (714) 524-1062
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective May 25, 2016 through May 25, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21844 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett and Harbach Dental Corporation | General Practice | Past |
Accepting new patients |
| David Alley DDS Apc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21844 | CA | Yes |
Addresses
Primary practice location
300 E Yorba Linda Blvd
Ste E
Placentia, CA 92870-2910
Mailing address
300 E Yorba Linda Blvd
Ste E
Placentia, CA 92870-2910
Phone (714) 524-0207
Other providers in Placentia, CA
- Hibah Ali
- Naureen Ali
- Randy Navarro Alicna
- Danielle Allen
- David John Alley
- Lauren Elizabeth Alley
- Jennifer C Almonte
- Aloha Family Optometry Inc
- Urith K Alonzo-Aguilus
- Alternative Options Counseling Center, Inc.
All providers in Placentia, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.