Individual provider Active NPI

Alexander Joseph Alkass, D.D.S.

  • General Practice Dentistry
  • Waterford, MI
National Provider Identifier
1578083200
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022238 Issued in MI
Practice address
1132 Voorheis Rd
Waterford, MI 48328-3944
Phone
(248) 682-6911
Fax
(248) 682-2740
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 2901022238 MI Primary

Addresses

Primary practice location

1132 Voorheis Rd
Waterford, MI 48328-3944

Mailing address

1132 Voorheis Rd
Waterford, MI 48328-3944
Phone (248) 682-6911

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

LicenseStateTypeSpecialty
2901022238MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alkass Dental Group Waterford CurrentSince Feb 23, 2020 Accepting new patients

Locations

1132 Voorheis Rd
Waterford, MI 48328
Phone (248) 682-6911

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1578083200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 VOORHEIS RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283944",
            "telephone_number": "248-682-6911",
            "fax_number": "248-682-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 VOORHEIS RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283944",
            "telephone_number": "248-682-6911",
            "fax_number": "248-682-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKASS",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.