Alexis Raphael Pierre IV, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38384 Issued in TX

Practice address

621 S Ross Sterling Ave
Anahuac, TX 77514

Phone

(409) 267-4126

Fax

(409) 267-4120

NPI assigned

Jun 8, 2017

Last updated

Dec 21, 2023By the provider in NPPES

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 TX

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

Practice roles

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.

• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital and Clinic

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1861542235
  Medicare reassignment NPD
• Chambers County Public Hospital District No 1

  dba Chambers Health School Base Health Center Dayton

  • Federally Qualified Health Center (FQHC)
  • Dayton, TX
  • NPI 1336738095
  NPD
• Chambers County Public Hospital District No. 1

  dba Emory Health and Rehab

  • Skilled Nursing Facility
  • Emory, TX
  • NPI 1770819377
  NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1447789953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ROSS STERLING AVE",
            "city": "ANAHUAC",
            "state": "TX",
            "postal_code": "77514",
            "telephone_number": "409-267-4126",
            "fax_number": "409-267-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S ROSS STERLING AVE",
            "city": "ANAHUAC",
            "state": "TX",
            "postal_code": "77514",
            "telephone_number": "409-267-4126",
            "fax_number": "409-267-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "ALEXIS",
        "middle_name": "RAPHAEL",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6784",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lynn Gusman, FNP-C
• Innovative Health Services Inc
• Linda Koonce, FNP-C
• Leonidas S. Andres, M D. P a (Andres Medical Clinic)
• Christi Morris, FNP-C
• William Bradley Pokorny, D.O.
• Carey Ann Porter
• John L Redman, MD
• Heath Redwine, FNP-C
• Senior Living Properties LLC (Anahuac Healthcare Center)

• General Practice Dentistry in Anahuac, TX
• Providers in Anahuac, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.