Individual provider Active NPI

Rosa M Alaniz, DDS

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1689964694
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56996 Issued in CA
Practice address
5835 N I St
San Bernardino, CA 92407-2567
Phone
(951) 415-9483
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56996 CA Primary

Addresses

Primary practice location

5835 N I St
San Bernardino, CA 92407-2567

Mailing address

5835 N I St
5835 North I Street
San Bernardino, CA 92407-2567
Phone (951) 415-9483

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
56996CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1689964694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 N I ST",
            "address_2": "5835 NORTH I STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072567",
            "telephone_number": "951-415-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 N I ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072567",
            "telephone_number": "951-415-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANIZ",
        "first_name": "ROSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.