Robert Michael Alt, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

06659 Issued in IA

Practice address

2314 N 2ND St
Clinton, IA 52732-2434

Phone

(563) 242-1565

Fax

(563) 242-0095

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinton Dental Surgery Center, P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Clinton, IA
  • NPI 1730355033
  Authorized official Same address or phone

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366458051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 N 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322434",
            "telephone_number": "563-242-1565",
            "fax_number": "563-242-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322434",
            "telephone_number": "563-242-1565",
            "fax_number": "563-242-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALT",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "06659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217893",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004602",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali S. Albaghdadi, M.D.
• Saadi J Albaghdadi, M.D.
• Salwa Albaghdadi, MD
• Mona S Alqulali, MD
• Margaret Alstead, RD
• Alternative Wellness & Chiropractic Center PC
• Alice Althoff
• Elisabeth Rae Aman, AU.D.
• American Drug Stores LLC (Osco Drug #1118)
• Oliver M Ancheta, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Clinton, IA
• Providers in Clinton, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.