Individual provider Active NPI

John Lawrence Alonge, M.S., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Erie, PA
National Provider Identifier
1730144452
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS024128L Issued in PA
Practice address
316 W 23Rd St
Erie, PA 16502-2620
Phone
(814) 453-4491
Fax
(814) 456-1481
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS024128L PA Primary

Addresses

Primary practice location

316 W 23Rd St
Erie, PA 16502-2620

Mailing address

316 W 23Rd St
Erie, PA 16502-2620
Phone (814) 453-4491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20060510000220 PA Practitioner - Oral Surgery 8123039773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery of Erie, P.C. CurrentSince Apr 1, 2007 Accepting new patients

Locations

316 W 23rd St
Erie, PA 16502
Phone (814) 453-4491

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1730144452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 23RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022620",
            "telephone_number": "814-453-4491",
            "fax_number": "814-456-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 23RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022620",
            "telephone_number": "814-453-4491",
            "fax_number": "814-456-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONGE",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.S., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024128L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.