Deandrae Alexander, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23485 Issued in TX

Practice address

2113 E Martin Luther King Jr Blvd
Suite 105
Austin, TX 78702-1357

Phone

(512) 477-9775

Fax

(512) 477-4806

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1285834747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 E MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021357",
            "telephone_number": "512-477-9775",
            "fax_number": "512-477-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 E MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021357",
            "telephone_number": "512-477-9775",
            "fax_number": "512-477-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DEANDRAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Alexander, LPC
• Anne Lynn Alexander, M.D.
• Beverly Lynn Alexander, PH.D.
• Christian Alexander
• Christina Alexander, LMSW
• Dejsha Alexander
• Jeff Alexander, PTA
• Jeremiah Alexander
• Johnny Ray Alexander III, PHARMD
• Judy L Alexander, MSW

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.