Alejandro Echeverry DDS & Mauricio Fonrodona DDS Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC.

Doing business as

Fillmore Dental Group

Practice address

1317 W Ventura St Unit C
Fillmore, CA 93015-1690

Phone

(805) 524-9100

Fax

(805) 524-9500

NPI assigned

Jun 9, 2008

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro Echeverry, DDSNPI 1487726766

Title

Dentist

Phone

(805) 524-9100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fillmore Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alejandro Echeverry, DDS

  • General Practice Dentistry
  • Pasadena, CA
  • NPI 1487726766
  NPD (past) Authorized official

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1285893792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W VENTURA ST UNIT C",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151690",
            "telephone_number": "805-524-9100",
            "fax_number": "805-524-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W VENTURA ST UNIT C",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151690",
            "telephone_number": "805-524-9100",
            "fax_number": "805-524-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRY",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-524-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G89695-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fillmore Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fillmore Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davoud Monir Abbasi
• Jimmy Steve Aguilar
• Naomi Aguilar
• Casey Jay Aguon Jr.
• Aalyiah Krystal Alfaro
• Alfredo Brest Vico, D.D.S, Co
• Alireza Alibanaei, PHARMACIST
• Ana Flavia Alpern, MD
• Nasr N Anees, MD

• Oral and Maxillofacial Surgery Clinic/Center in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.