Alexandr V Doroshenko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55462 Issued in CA

Practice address

11875 Pigeon Pass Rd Ste B9
Moreno Valley, CA 92557-6040

Phone

(951) 488-8688

Fax

(951) 488-8689

NPI assigned

Jun 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Community Dental of Dr. CHI

  • Dentist
  • Moreno Valley, CA
  • NPI 1922237155
  NPD (past)
• Diane Boval DDS a Professional Dental Corp

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1720694656

  General Practice

  NPD (past)

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497951784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 MOUNTAIN VIEW AVE APT G",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738441",
            "telephone_number": "909-796-2738",
            "fax_number": "909-796-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 PIGEON PASS RD STE B9",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925576040",
            "telephone_number": "951-488-8688",
            "fax_number": "951-488-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSHENKO",
        "first_name": "ALEXANDR",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livia Anastasia Donets, PA-C
• Dong S. Kim, M.D., Inc
• David K Dong, M.D.
• Misook Doo, ACUPUNCTURIST
• Christina Dorame, LVN
• William Kent Dorrance, OD
• Desmond N Dortch
• Michael Stephen Douglas, M.D.
• Paulette Douglas, MFT
• Beatrice Elena Douglass

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.