Active NPI
Alexander Jake McGuiness, DDS
- Dentist
- Norwalk, CT
National Provider Identifier
1396414207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13542
- Practice address
- 761 Main Ave Ste 111
Norwalk, CT 06851-1080 - Phone
- (203) 908-3170
- NPI assigned
- Sep 13, 2021
- Last updated
- Oct 29, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 062438 | NY | |
| Dentist | 122300000X | 13542 | CT | Primary |
Addresses
Primary practice location
761 Main Ave Ste 111
Norwalk, CT 06851-1080
Mailing address
30 W Court Dr
Centereach, NY 11720-2328
Phone (516) 582-2648
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 |
|---|---|---|---|
| 13542 | CT | MD | Dentist |
| 062438 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Alliance of Norwalk, PLLC | Current | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients | |
| All Smiles, LLC | Past | Accepting new patients |
Locations
761 Main Ave
Ste 111
Norwalk, CT 06851
Phone (203) 908-3170
Organizations & group practices 3
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.
-
dba All Smiles LLC
- General Practice Dentistry
- Norwalk, CT
- NPI 1013733583
-
- General Practice Dentistry
- Norwalk, CT
- NPI 1659756591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667001600000",
"number": "1396414207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W COURT DR",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117202328",
"telephone_number": "516-582-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 111",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-908-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUINESS",
"first_name": "ALEXANDER",
"middle_name": "JAKE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2022-10-29",
"certification_date": "2022-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062438",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.