NPIMap

Organization Active NPI

Maria T Alarcon DDS Dental Corporation

Doing business as The Emergency Dental Center of Hayward practice of Maria Alarcon DDS

  • Dental Clinic/Center
  • Hayward, CA
National Provider Identifier
1467955369
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARIA T ALARCON DDS DENTAL CORPORATION
Doing business as
The Emergency Dental Center of Hayward practice of Maria Alarcon DDS
The Emergency Dental Center of Hayward practice of Maria Rodriguez DDS
Practice address
19682 Hesperian Blvd
Second Floor Suite #208
Hayward, CA 94541-4752
Phone
(510) 253-2350
Fax
(510) 255-2161
NPI assigned
Mar 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Dr. Maria T Alarcon, DDSNPI 1427198134
Title
President/Owner
Phone
(510) 253-2350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 135306 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 34647 CA
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

19682 Hesperian Blvd
Second Floor Suite #208
Hayward, CA 94541-4752

Mailing address

19682 Hesperian Blvd
Second Floor Suite #208
Hayward, CA 94541-4752
Phone (510) 253-2350

Other identifiers 5

IdentifierTypeStateIssuer
1518066117MedicaidCA
1598873853MedicaidCA
1407385123MedicaidCA
1427198134MedicaidCA
1346576659MedicaidCA

Other names 2

  • The Emergency Dental Center of Hayward practice of Maria Alarcon DDS Doing business as
  • The Emergency Dental Center of Hayward practice of Maria Rodriguez DDS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190219001910 CA Part B Supplier - Clinic/Group Practice 0941564736 Receives reassigned benefits from 11 practitioners
Practice locations: Richmond, CA; Hayward, CA
O20190221003185 CA Part B Supplier - Independent Clinical Laboratory 0941564736 Practice locations: Hayward, CA

National Provider Directory

National Provider Directory

Locations

19682 Hesperian Blvd
Ste 208
Hayward Acres, CA 94541
Phone (510) 253-2350

3927 Macdonald Ave
Richmond, CA 94805
Phone (510) 232-4003

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1467955369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "SECOND FLOOR SUITE #208",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-253-2350",
            "fax_number": "510-255-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD",
            "address_2": "SECOND FLOOR SUITE #208",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-253-2350",
            "fax_number": "510-255-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA T ALARCON DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "ALARCON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-253-2350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "135306",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34647",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518066117",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598873853",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407385123",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427198134",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346576659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Emergency Dental Center of Hayward practice of Maria Alarcon DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Emergency Dental Center of Hayward practice of Maria Rodriguez DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.