Active NPI
Conrado V Alegria, D.D.S
- General Practice Dentistry
National Provider Identifier
1578907747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D902
- Practice address
- 505 Harmon Loop Road, Suite 300
Dededo, GUAM 96929
UM - Phone
- (671) 637-9696
- Fax
- (671) 637-6464
- NPI assigned
- Apr 18, 2013
- Last updated
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39746 | CA | |
| General Practice Dentistry | 1223G0001X | D902 | GU | Primary |
Addresses
Primary practice location
505 Harmon Loop Road, Suite 300
Dededo, GUAM 96929
UM
Mailing address
505 Harmon Loop Road, Suite 300
Dededo, GUAM 96929
UM
Phone (671) 637-9696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39746 | Medicaid | CA | |
| D902 | Medicaid | GU |
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 |
|---|---|---|---|
| D902 | GU | MD | General Practice Dentistry |
| 39746 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C V Alegria DDS Inc | 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, 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": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1578907747",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "505 HARMON LOOP ROAD, SUITE 300",
"city": "DEDEDO",
"state": "GUAM",
"postal_code": "96929",
"telephone_number": "671-637-9696",
"fax_number": "671-637-6464"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "505 HARMON LOOP ROAD, SUITE 300",
"city": "DEDEDO",
"state": "GUAM",
"postal_code": "96929",
"telephone_number": "671-637-9696",
"fax_number": "671-637-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGRIA",
"first_name": "CONRADO",
"middle_name": "V",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39746",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GU",
"license": "D902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39746",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D902",
"state": "GU"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.