Juan Alzate Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

50558 Issued in CA

Legal business name

JUAN ALZATE DENTAL CORPORATION

Doing business as

Juan Jose Alzate, DDS

Practice address

5670 N Fresno St Ste 107
Fresno, CA 93710-8330

Phone

(559) 554-9323

Fax

(559) 554-9758

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Juan Jose Alzate, DDS

Title

DDS/Owner

Phone

(559) 554-9323

Specialties & licenses 1

Addresses

Other names 1

• Juan Jose Alzate, DDS Doing business as

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1497181184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 N FRESNO ST STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108330",
            "telephone_number": "559-554-9323",
            "fax_number": "559-554-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 N FRESNO ST STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108330",
            "telephone_number": "559-554-9323",
            "fax_number": "559-554-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN ALZATE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "ALZATE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "559-554-9323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juan Jose Alzate, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.