Individual provider Active NPI

Nestor Humberto D'Alessandria, D.M.D

  • Pediatric Dentistry
  • Plantation, FL
National Provider Identifier
1114239787
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN 19059 Issued in FL
Practice address
8320 W Sunrise Blvd
Suite 210
Plantation, FL 33322-5435
Phone
(954) 414-8018
Fax
(954) 507-6805
NPI assigned
Jul 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN 19059 FL Primary

Addresses

Primary practice location

8320 W Sunrise Blvd
Suite 210
Plantation, FL 33322-5435

Mailing address

8320 W Sunrise Blvd
Suite 210
Plantation, FL 33322-5435
Phone (954) 414-8018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 19059FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Land Pediatric Dentistry 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": "1278806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1114239787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 W SUNRISE BLVD",
            "address_2": "SUITE 210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225435",
            "telephone_number": "954-414-8018",
            "fax_number": "954-507-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 W SUNRISE BLVD",
            "address_2": "SUITE 210",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225435",
            "telephone_number": "954-414-8018",
            "fax_number": "954-507-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESSANDRIA",
        "first_name": "NESTOR",
        "middle_name": "HUMBERTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-11",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 19059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.