Individual provider Active NPI

Anthony Alonso Jr., D.M.D.

  • Endodontics
  • Coral Gables, FL
National Provider Identifier
1467634964
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN16933 Issued in FL
Practice address
550 Biltmore Way
Penthouse 3B
Coral Gables, FL 33134-5730
Phone
(305) 447-4000
Fax
(305) 447-9557
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN16933 FL Primary

Addresses

Primary practice location

550 Biltmore Way
Penthouse 3B
Coral Gables, FL 33134-5730

Mailing address

550 Biltmore Way
Penthouse 3B
Coral Gables, FL 33134-5730
Phone (305) 447-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160602000418 FL Order and Referring Only - DentistPractitioner - Dentist 4284924309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Kendall Baptist HospitalMiami, FL, CCN 100314 Hospital Corporate Director May 21, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1467634964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BILTMORE WAY",
            "address_2": "PENTHOUSE 3B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345730",
            "telephone_number": "305-447-4000",
            "fax_number": "305-447-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BILTMORE WAY",
            "address_2": "PENTHOUSE 3B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345730",
            "telephone_number": "305-447-4000",
            "fax_number": "305-447-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.