Alexandra Enid Aponte, DDS
Individual provider Active NPI Dentist · Washington, DC
NPI 1245671973 · NPPES record last updated Jul 13, 2016
Key facts
- NPI
- 1245671973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 31185 (TX)
- Practice address
- 50 Irving St NW
Washington, DC 20422-0001 - Phone
- (202) 745-8000
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31185 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31185 | TX | Yes |
Addresses
Primary practice location
50 Irving St NW
Washington, DC 20422-0001
Mailing address
1941 S Ih 35 Ste 107
San Marcos, TX 78666-6169
Phone (512) 392-6222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349154001 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1245671973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 S IH 35 STE 107",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666169",
"telephone_number": "512-392-6222",
"fax_number": "512-392-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204220001",
"telephone_number": "202-745-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APONTE",
"first_name": "ALEXANDRA",
"middle_name": "ENID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349154001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.