Alfred Matthew Macaltao

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

025404 Issued in NY

Practice address

Junction of Highway 371 Navajo Route 9
Crownpoint, NM 87313-0358

Phone

(505) 786-5291

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1699299693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N SAN MATEO DR APT 107",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012804",
            "telephone_number": "917-697-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNCTION OF HIGHWAY 371 NAVAJO ROUTE 9",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "873130358",
            "telephone_number": "505-786-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALTAO",
        "first_name": "ALFRED",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "025404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Lee
• Maria A Leon-Gandara, D.M.D.
• Matthew Liaw
• Christopher Looney, RN
• Elizabeth Lynch, MD
• Monika Rae Martinez, PTA
• Charles Elias Matli, PHARMD
• Shawn McHenry, DPT
• Dakota McMurray, PHARMD
• Beau Morgan, LADAC

• Dental Hygienist in Crownpoint, NM
• Providers in Crownpoint, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.