Active NPI
Michael Jason Alexander, D.D.S.
- General Practice Dentistry
- Abilene, TX
National Provider Identifier
1629239389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22790
- Practice address
- #5 Windmill Circle
Abilene, TX 79606 - Phone
- (325) 692-3332
- Fax
- (325) 690-1205
- NPI assigned
- Jun 24, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22790 | TX | Primary |
Addresses
Primary practice location
#5 Windmill Circle
Abilene, TX 79606
Mailing address
#5 Windmill Circle
Abilene, TX 79606
Phone (325) 692-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 19, 2016 through Apr 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1629239389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#5 WINDMILL CIRCLE",
"city": "ABILENE",
"state": "TX",
"postal_code": "79606",
"telephone_number": "325-692-3332",
"fax_number": "325-690-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#5 WINDMILL CIRCLE",
"city": "ABILENE",
"state": "TX",
"postal_code": "79606",
"telephone_number": "325-692-3332",
"fax_number": "325-690-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MICHAEL",
"middle_name": "JASON",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.