Individual provider Active NPI

Chad D'Aloisio, D.D.S.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1467510487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44858 Issued in CA
Practice address
4165 Beverly Blvd
Los Angeles, CA 90004-4418
Phone
(323) 662-0738
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44858 CA Primary

Addresses

Primary practice location

4165 Beverly Blvd
Los Angeles, CA 90004-4418

Mailing address

12965 Canyonwind Rd
Riverside, CA 92503-9762
Phone (951) 660-8039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20220913001798 CA Practitioner - DentistPractitioner - Oral Surgery 8022314699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kwon DDS Professional Corporation Dentist CurrentSince May 5, 2022 Accepting new patients
Western Dental Services, Inc. Past Accepting new patients

Locations

21091 Rider St
Ste 203
Perris, CA 92570
Phone (951) 322-4058

Interoperability endpoints

  • Direct secure messaging: cdaloisio@direct.westerndental.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467510487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12965 CANYONWIND RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925039762",
            "telephone_number": "951-660-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044418",
            "telephone_number": "323-662-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALOISIO",
        "first_name": "CHAD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.