Michael Alessi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4441 Issued in SC

Practice address

1317 N Kings Hwy
Suite 106
Myrtle Beach, SC 29577-3636

Phone

(843) 626-5437

Fax

(843) 626-6308

NPI assigned

Mar 2, 2007

Last updated

Nov 7, 2014By 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

Enrolled in SC

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myrtle Beach Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1568432391
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1710015359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N KINGS HWY",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773636",
            "telephone_number": "843-626-5437",
            "fax_number": "843-626-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N KINGS HWY",
            "address_2": "SUITE 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773636",
            "telephone_number": "843-626-5437",
            "fax_number": "843-626-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dawn Aguirre, DPT
• Destiny Aiken
• Jill Aiken, MD
• Kalah Ainsworth, DO
• Dalal A Akoury, M.D.
• Ashley Cannon Alexander, NP
• Patsy Gardner Alexander, MSW LISW-CP
• Sandra Alexander
• Sergei Alexeev, MD
• Dyllan Alfaro

• General Practice Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.