Individual provider Active NPI

Alexander Homer Malick, D.M.D.

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1275524134
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34738 Issued in CA
Practice address
1899 E Roseville Pkwy
Suite160
Roseville, CA 95661-7979
Phone
(916) 787-1199
Fax
(916) 787-0400
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 34738 CA Primary

Addresses

Primary practice location

1899 E Roseville Pkwy
Suite160
Roseville, CA 95661-7979

Mailing address

1899 E Roseville Pkwy
Suite160
Roseville, CA 95661-7979
Phone (916) 787-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130111000286 CA Practitioner - Oral Surgery 9931352416 Practice locations: Roseville, CA
O20130320000393 CA DME Supplier - Physician - General Practice 9032354139 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Connecticut School of Dental Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1899 E Roseville Pkwy
Suite 160
Roseville, CA 95661-7981
Phone (916) 787-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
34738CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275524134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 E ROSEVILLE PKWY",
            "address_2": "SUITE160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617979",
            "telephone_number": "916-787-1199",
            "fax_number": "916-787-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 E ROSEVILLE PKWY",
            "address_2": "SUITE160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617979",
            "telephone_number": "916-787-1199",
            "fax_number": "916-787-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALICK",
        "first_name": "ALEXANDER",
        "middle_name": "HOMER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.