Active NPI
Michael Jon Alfaro, DMD
- Dentist
- Raf Lakenheath, NJ
National Provider Identifier
1699845222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63198149921
- Practice address
- 48TH MDG, Unit 5115, Apo, Ae 09461
Raf Lakenheath, NJ 09461 - Phone
- (783) 154-9159
- NPI assigned
- Nov 9, 2006
- Last updated
- Feb 18, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63198149921 | UT | Primary |
Addresses
Primary practice location
48TH MDG, Unit 5115, Apo, Ae 09461
Raf Lakenheath, NJ 09461
Mailing address
48TH MDG
Unit 5115
Apo, AE 09461-5115
Phone (210) 842-0036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63198149921 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1699845222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "48TH MDG",
"address_2": "UNIT 5115",
"city": "APO",
"state": "AE",
"postal_code": "094615115",
"telephone_number": "210-842-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48TH MDG, UNIT 5115, APO, AE 09461",
"city": "RAF LAKENHEATH",
"state": "NJ",
"postal_code": "09461",
"telephone_number": "783-154-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFARO",
"first_name": "MICHAEL",
"middle_name": "JON",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2025-02-18",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "63198149921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.