Individual provider Active NPI

Gerald Wayne Alexander, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
National Provider Identifier
1144257619
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
1223SO112X Issued in CA
Practice address
7585 N Colonial Ave
Ste 105
Fresno, CA 93711-5889
Phone
(559) 431-4220
Fax
(559) 431-9276
NPI assigned
Jun 28, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1223SO112X CA Primary

Addresses

Primary practice location

7585 N Colonial Ave
Ste 105
Fresno, CA 93711-5889

Mailing address

7585 N Colonial Ave
Ste 105
Fresno, CA 93711-5889
Phone (559) 431-4220

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23910CAMDClinical Psychologist
1223SO112XCAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Bassam Ekram Michiel DDS Inc Oral and Maxillofacial Surgery PastSince Apr 27, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1144257619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 N COLONIAL AVE",
            "address_2": "STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115889",
            "telephone_number": "559-431-4220",
            "fax_number": "559-431-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 N COLONIAL AVE",
            "address_2": "STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115889",
            "telephone_number": "559-431-4220",
            "fax_number": "559-431-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "1223SO112X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.