Alexander Vaun Padalino, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1002301-15 Issued in WI

Practice address

88TH Medical Group
4881 Sugar Maple Dr.
Wpafb, OH 45433

Phone

(210) 292-6258

NPI assigned

Apr 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1396374070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88TH MEDICAL GROUP",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88TH MEDICAL GROUP",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "210-292-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADALINO",
        "first_name": "ALEXANDER",
        "middle_name": "VAUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-05",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002301-15",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "1002301-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Nobles, PHARMD
• Clifford Rissler Nolt, M.D.
• Thad Francis L Ocampo, M.D.
• Melissa Marie Odenweller
• Meghan Olsen, MD
• Benjamin Park, M.D.
• Brian Elliot Patel, R. PH.
• Sneh L Patwa, M.D.
• Rachelle Paul-Kagiri, M.D.
• Jamie Penny

• Periodontics in Wpafb, OH
• Providers in Wpafb, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.