Miguel Angel Alonso, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

03446 Issued in NY

Practice address

4250 Broadway
New York, NY 10033-3750

Phone

(212) 795-0765

Fax

(212) 795-3600

NPI assigned

Jun 28, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730116138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VERNON DR",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836121",
            "telephone_number": "914-723-5342",
            "fax_number": "212-795-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333750",
            "telephone_number": "212-795-0765",
            "fax_number": "212-795-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "03446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Maria Alonso, M.D.
• Elena Maria Alonso, LCSW
• Jennifer Marie Alonso, LMSW
• Joseph Alonso
• Laura Cristina Alonso, M.D.
• Sylvia Alonso, O.D.
• Veronica Alonso, LPN
• Victoria Alonso
• Gary G Alony, RPH
• Danielle Alonzi, OTR/L

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.