Alexander Arbelo Ramos, DMD
Individual provider Active NPI Dentist · Bolivia, NC
NPI 1487644191 · NPPES record last updated Dec 22, 2025
Key facts
- NPI
- 1487644191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12587 (NC)
- Practice address
- 2831 Midway Rd SE Ste 116
Bolivia, NC 28422-8377 - Phone
- (910) 408-4436
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151006002805 | PR | Order and Referring Only - Oral Surgery |
8123336401 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12587 | NC | MD | Dentist |
| 052407 | NY | MD | Dentist |
| 2719 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riccobene & Associates I, DDS, P.a. | Current |
Accepting new patients | |
| B. Aaronson, D.D.S. & a. Thompson, D.M.D.,P.C. | Past | Accepting new patients |
Locations
2831 Midway Rd SE
Ste 116
Bolivia, NC 28422
Phone (910) 408-4436
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12587 | NC | Yes |
| Dentist | 122300000X | 052407 | NY |
Addresses
Primary practice location
2831 Midway Rd SE Ste 116
Bolivia, NC 28422-8377
Mailing address
1288 Buckland Row
Leland, NC 28451-2247
Phone (570) 637-3146
Other practice location 1
1215 W Gate Dr Ste 180
Leland, NC 28451-0437
Phone (910) 663-1223
Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.