Individual provider Active NPI

Alexander John Erwin, D.D.S.

  • General Practice Dentistry
  • Solana Beach, CA
National Provider Identifier
1194274381
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104716 Issued in CA
Practice address
116 W Plaza St Ste B
Solana Beach, CA 92075-1194
Phone
(858) 755-1189
NPI assigned
Sep 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104716 CA Primary

Addresses

Primary practice location

116 W Plaza St Ste B
Solana Beach, CA 92075-1194

Mailing address

116 W Plaza St Ste B
Solana Beach, CA 92075-1194
Phone (858) 755-1189

Other practice location 1

2484 Vista Way Ste B
Oceanside, CA 92054-5682
Phone (760) 439-0334

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
104716CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Judge and Sharifian Dental Corporation General Practice PastSince Aug 1, 2019 Accepting new patients
Robert a. Rosenfeld DDS (a Professional Dental Corporation) PastSince Aug 28, 2022 Accepting new patients
Amanda Mercer and Diana DO-Yabut Dental Corporation PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1194274381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W PLAZA ST STE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751194",
            "telephone_number": "858-755-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PLAZA ST STE B",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751194",
            "telephone_number": "858-755-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2484 Vista Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545682",
            "country_code": "US",
            "telephone_number": "760-439-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.