Alessandra Mariel Chacon, DDS,MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

32626 Issued in TX

Practice address

3402 E del Mar Blvd
Suite 280
Laredo, TX 78041-6897

Phone

(956) 568-5525

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: achaconpabon62191@direct.utmsa.com

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.

• A&R Orthodontics, PLLC

  dba The Smile Shoppe Orthodontic Specialists

  • Dental Clinic/Center
  • Laredo, TX
  • NPI 1316486863
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1386183630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 E DEL MAR BLVD",
            "address_2": "SUITE 280",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416897",
            "telephone_number": "956-568-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 E DEL MAR BLVD",
            "address_2": "SUITE 280",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416897",
            "telephone_number": "956-568-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "ALESSANDRA",
        "middle_name": "MARIEL",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "32626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Griselda Cepeda, RN/BSN
• Francisco Javier Cervantes, M.D.
• Lisa M Cervantes, LPC
• Kristi Cervantez
• Kassandra Lynn Cervera, RPH
• Chad E. Sims, D.C., P.C. (Sims Chiropractic Center)
• Marla Fabiola Chaires, FNP
• Nikit Chalise
• Champion Care, Inc
• Champion Palomita Services Inc (Champion Palomita Services)

• Orthodontics and Dentofacial Orthopedics Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.