Alan Enrique Machado, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112269 Issued in CA

Practice address

16701 Valley Blvd
Fontana, CA 92335-6696

Phone

(909) 356-4490

NPI assigned

Aug 28, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1114806635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24973 PROSPECT AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542842",
            "telephone_number": "305-491-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 VALLEY BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356696",
            "telephone_number": "909-356-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "ALAN",
        "middle_name": "ENRIQUE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Alyssa Lynch
• M Nosrati Dental Corporation
• Maagboy Enterprise LLC
• Hisham Maassarani, CRNA
• Andrew Ellis Macelroy Jr., RN
• Diane Macias
• Eduardo Pedro Macias, M.D.
• Madahi Gizeh Macias
• Douglas K. Mack, MD
• Tara Nicole Mackie, LCSW

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.