Ida Alfonso DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDA ALFONSO DMD INC

Practice address

5814 Van Allen Way
Carlsbad, CA 92008-7358

Phone

(760) 931-0144

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ida AlfonsoNPI 1457526568

Title

Owner

Phone

(760) 931-0144

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ida Delos Santos Alfonso

  • General Practice Dentistry
  • Carlsbad, CA
  • NPI 1457526568
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1104279579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 VAN ALLEN WAY",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087358",
            "telephone_number": "760-931-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 VAN ALLEN WAY",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087358",
            "telephone_number": "760-931-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA ALFONSO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-931-0144"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.