NPIMap

Organization Active NPI

Otto R. Alonzo, D.D.S., Inc.

  • Dental Clinic/Center
  • Clovis, CA
National Provider Identifier
1639443575
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50719 Issued in CA
Legal business name
OTTO R. ALONZO, D.D.S., INC.
Practice address
145 Shaw Ave
Suite B2
Clovis, CA 93612-3841
Phone
(559) 325-2175
Fax
(559) 325-2227
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Otto Raul Alonzo, D.D.S.
Title
President
Phone
(559) 776-1829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50719 CA Primary

Addresses

Primary practice location

145 Shaw Ave
Suite B2
Clovis, CA 93612-3841

Mailing address

145 Shaw Ave
Suite B2
Clovis, CA 93612-3841
Phone (559) 325-2175

National Provider Directory

National Provider Directory

Locations

145 Shaw Ave
Ste B2
Clovis, CA 93612
Phone (559) 325-2175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1639443575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SHAW AVE",
            "address_2": "SUITE B2",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123841",
            "telephone_number": "559-325-2175",
            "fax_number": "559-325-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SHAW AVE",
            "address_2": "SUITE B2",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123841",
            "telephone_number": "559-325-2175",
            "fax_number": "559-325-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO R. ALONZO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ALONZO",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-776-1829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.