Active NPI
Cynthia X Alegre, DDS
- Pediatric Dentistry
- Renton, WA
National Provider Identifier
1386720993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00010253
- Practice address
- 15301 Maple Valley Hwy Ste 100
Renton, WA 98058-8128 - Phone
- (425) 523-4179
- Fax
- (206) 764-0489
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010253 | WA | |
| Pediatric Dentistry | 1223P0221X | DE00010253 | WA | Primary |
Addresses
Primary practice location
15301 Maple Valley Hwy Ste 100
Renton, WA 98058-8128
Mailing address
15301 Maple Valley Hwy Ste 100
Renton, WA 98058-8128
Phone (425) 523-4179
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5049424 | Medicaid | WA | |
| 0202979 | Other | WA | STATE LABOR & INDUSTRIES |
| 1021AL | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010253 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Alegre PS | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Renton, WA
- NPI 1962056176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1386720993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 MAPLE VALLEY HWY STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980588128",
"telephone_number": "425-523-4179",
"fax_number": "206-764-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 MAPLE VALLEY HWY STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980588128",
"telephone_number": "425-523-4179",
"fax_number": "206-764-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGRE",
"first_name": "CYNTHIA",
"middle_name": "X",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010253",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00010253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5049424",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LABOR & INDUSTRIES",
"identifier": "0202979",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "1021AL",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.