Individual provider Active NPI

Valerie Joan Alessandro, D.D.S.

  • General Practice Dentistry
  • Willimantic, CT
National Provider Identifier
1245340710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8396 Issued in CT
Practice address
6 Storrs Rd
Willimantic, CT 06226-4006
Phone
(860) 456-1808
Fax
(860) 456-1862
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8396 CT Primary

Addresses

Primary practice location

6 Storrs Rd
Willimantic, CT 06226-4006

Mailing address

PO Box 459
Mansfield Center, CT 06250-0459
Phone (860) 456-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000430 CT Order and Referring Only - DentistPractitioner - Dentist 0648561696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8396CTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245340710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062500459",
            "telephone_number": "860-456-1808",
            "fax_number": "860-456-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STORRS RD",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062264006",
            "telephone_number": "860-456-1808",
            "fax_number": "860-456-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSANDRO",
        "first_name": "VALERIE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.