Individual provider Active NPI

Mario Rene Aleman, D.D.S.

  • General Practice Dentistry
  • San Dimas, CA
National Provider Identifier
1396955209
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50556 Issued in CA
Practice address
1111 W Covina Blvd
Suite 240
San Dimas, CA 91773-3205
Phone
(909) 305-2324
Fax
(909) 305-9750
NPI assigned
May 23, 2007
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50556 CA Primary

Addresses

Primary practice location

1111 W Covina Blvd
Suite 240
San Dimas, CA 91773-3205

Mailing address

1111 W Covina Blvd
Suite 240
San Dimas, CA 91773-3205
Phone (909) 305-2324

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

LicenseStateTypeSpecialty
50556CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mario Aleman DDS Dental Corp CurrentSince Apr 28, 2024 Accepting new patients

Locations

1111 W Covina Blvd
Ste 240
San Dimas, CA 91773
Phone (909) 305-2324

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1396955209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W COVINA BLVD",
            "address_2": "SUITE 240",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733205",
            "telephone_number": "909-305-2324",
            "fax_number": "909-305-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W COVINA BLVD",
            "address_2": "SUITE 240",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733205",
            "telephone_number": "909-305-2324",
            "fax_number": "909-305-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMAN",
        "first_name": "MARIO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.