NPIMap

Individual provider Active NPI

Alla Alexis Shrager, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raleigh, NC
National Provider Identifier
1215128343
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10475 Issued in NC
Practice address
8331 Bandford Way Ste 105
Raleigh, NC 27615-2765
Phone
(412) 720-9277
NPI assigned
Aug 5, 2007
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 16446 FL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10475 NC Primary

Addresses

Primary practice location

8331 Bandford Way Ste 105
Raleigh, NC 27615-2765

Mailing address

9012 Meadow Mist CT
Raleigh, NC 27617-7478
Phone (412) 720-9277

Other practice location 1

4251 Ramsey St
Fayetteville, NC 28311-2130
Phone (910) 716-0105

Other identifiers 1

IdentifierTypeStateIssuer
DN 16446OtherFLDEP OF HEALTH LICENSE

Other names 1

  • Dr. Alexis Shrager Professional name

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
DN 16446FLMDOrthodontics and Dentofacial Orthopedic Dentist
10475NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alla Alexis Shrager DMD 4 PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Alla Alexis Shrager, DMD PA Orthodontics and Dentofacial Orthopedics Current Accepting new patients
DRS Shrager and Associates PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Alles & Associates North Carolina PastSince Dec 12, 2021 Accepting new patients

Locations

8331 Bandford Way
Ste 105
Raleigh, NC 27615
Phone (412) 720-9277

Organizations & group practices 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1215128343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 MEADOW MIST CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177478",
            "telephone_number": "412-720-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 BANDFORD WAY STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152765",
            "telephone_number": "412-720-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283112130",
            "country_code": "US",
            "telephone_number": "910-716-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRAGER",
        "first_name": "ALLA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 16446",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEP OF HEALTH LICENSE",
            "identifier": "DN 16446",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SHRAGER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

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