Victor Manuel Alarcon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855732 Issued in MA

Practice address

55 Sack Blvd
Leominster, MA 01453-3325

Phone

(978) 466-6800

NPI assigned

Jun 17, 2011

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1639464662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 PALISADE AVE APT 4F",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071778",
            "telephone_number": "617-851-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SACK BLVD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533325",
            "telephone_number": "978-466-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARCON",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855732",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muna Ahmad, M.D.
• Shehzeen Ahmed, RPH
• Laural C Aiesi
• Lekan Rahman Akeju
• Ivy N Akotey
• Maria G Alatalo, PT
• Lloyd M. Alderson, M.D.
• Briana Janel Aldrich, M.ED.
• Bianca C Alexis
• Gina Alexis, FNP

• General Practice Dentistry in Leominster, MA
• Providers in Leominster, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.