Active NPI
Alexander Jesse Sy, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rosemead, CA
National Provider Identifier
1568934545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 103437
- Practice address
- 9368 Valley Blvd Ste 201
Rosemead, CA 91770-1990 - Phone
- (626) 401-1988
- NPI assigned
- Jan 1, 2019
- Last updated
- Jan 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 103437 | CA | Primary |
Addresses
Primary practice location
9368 Valley Blvd Ste 201
Rosemead, CA 91770-1990
Mailing address
9368 Valley Blvd Ste 201
Rosemead, CA 91770-1990
Phone (626) 401-1988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103437 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank Sy DMD Professional Corp. | Single Specialty | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546300800000",
"number": "1568934545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9368 VALLEY BLVD STE 201",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701990",
"telephone_number": "626-401-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9368 VALLEY BLVD STE 201",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701990",
"telephone_number": "626-401-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SY",
"first_name": "ALEXANDER",
"middle_name": "JESSE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-01",
"last_updated": "2019-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "103437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.