Individual provider Active NPI

David John Alley, D.D.S.

  • General Practice Dentistry
  • Placentia, CA
National Provider Identifier
1487879375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DW036130 Issued in CA
Practice address
300 E Yorba Linda Blvd
Ste E
Placentia, CA 92870-2910
Phone
(714) 524-0207
Fax
(714) 524-1062
NPI assigned
Apr 16, 2007
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
General Practice Dentistry 1223G0001X DW036130 CA Primary

Addresses

Primary practice location

300 E Yorba Linda Blvd
Ste E
Placentia, CA 92870-2910

Mailing address

300 E Yorba Linda Blvd
Ste E
Placentia, CA 92870-2910
Phone (714) 524-0207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 25, 2016 through May 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DW036130CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Alley DDS Apc General Practice Past Accepting new patients

Organizations & group practices 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487879375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD",
            "address_2": "STE E",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910",
            "telephone_number": "714-524-0207",
            "fax_number": "714-524-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD",
            "address_2": "STE E",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910",
            "telephone_number": "714-524-0207",
            "fax_number": "714-524-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DW036130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.