Robert Bailey Alston Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14148 Issued in TX

Practice address

211 Sun Valley Blvd
Hewitt, TX 76643-3571

Phone

(254) 666-1366

Fax

(245) 666-4766

NPI assigned

Dec 17, 2006

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)

Enrolled

State licenses

Practice roles

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.

• Robert B. Alston, Jr. D.D.S.

  • Customized Equipment (DME)
  • Hewitt, TX
  • NPI 1861761413
  NPD (past) Authorized official
• Alpha Omega Dental Associates

  • Preferred Provider Organization
  • Hewitt, TX
  • NPI 1306391362
  NPD (past)

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124181896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUN VALLEY BLVD",
            "address_2": "P.O. BOX 428",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433571",
            "telephone_number": "254-666-1366",
            "fax_number": "245-666-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUN VALLEY BLVD",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433571",
            "telephone_number": "254-666-1366",
            "fax_number": "245-666-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "ROBERT",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Dental07 PLLC
• Micah D Adams, PA-C
• Advance Counseling Service
• Courtney Alyssa Alexander
• Alpha Omega Dental Associates
• Amdar LLC
• Charles Michael Athey
• Julian Omar Ayala Morales, D.C.
• A. Alexander Beaujean, PHD
• Nicholas Frank Benson, PHD

• General Practice Dentistry in Hewitt, TX
• Providers in Hewitt, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.