Individual provider Active NPI

Alene Marie D'Alesio, DMD

  • Pediatric Dentistry
  • Moon TWP, PA
National Provider Identifier
1174567499
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS036645 Issued in PA
Practice address
4001 Duckhorn Dr
Moon TWP, PA 15108-9470
Phone
(412) 427-2138
NPI assigned
Jun 16, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 DS036645 PA Primary

Addresses

Primary practice location

4001 Duckhorn Dr
Moon TWP, PA 15108-9470

Mailing address

4001 Duckhorn Dr
Moon TWP, PA 15108-9470
Phone (412) 427-2138

Other identifiers 2

IdentifierTypeStateIssuer
001845956OtherPAUCCI
1016036930001MedicaidPA

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
DS036645PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Siesta Smiles Dentistry, LLC Pediatric Dentistry CurrentSince Jan 14, 2024 Accepting new patients
Pediatric Dentistry Asleep of West Virginia, PLLC Pediatric Dentistry CurrentSince May 12, 2024 Accepting new patients

Organizations & group practices 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1174567499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DUCKHORN DR",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151089470",
            "telephone_number": "412-427-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DUCKHORN DR",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151089470",
            "telephone_number": "412-427-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESIO",
        "first_name": "ALENE",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS036645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "001845956",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016036930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.