Active NPI
Alejandro R Marquez, D.D.S.
- Dentist
- Stockton, CA
National Provider Identifier
1205081551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS55709
- Practice address
- 1523 E March LN
Stockton, CA 95210-5607 - Phone
- (209) 952-9000
- NPI assigned
- Nov 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0538081 | NY | |
| Dentist | 122300000X | DDS55709 | CA | Primary |
Addresses
Primary practice location
1523 E March LN
Stockton, CA 95210-5607
Mailing address
5007 Corvair St
North Highlands, CA 95660-5316
Phone (917) 318-9947
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS55709 | CA | MD | Dentist |
| 0538081 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Surgery Centers of America | Past | 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 and National Provider Directory roles.
-
dba Delta Surgical
- Ambulatory Surgical Clinic/Center
- Stockton, CA
- NPI 1609041813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1205081551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 CORVAIR ST",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605316",
"telephone_number": "917-318-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 E MARCH LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952105607",
"telephone_number": "209-952-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "ALEJANDRO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-27",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0538081",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS55709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.