Alex Mario Rangel

Primary specialty

DenturistTaxonomy code 122400000X

License

10269837 Issued in OR

Practice address

913 A St
Myrtle Point, OR 97458-1334

Phone

(541) 559-5000

NPI assigned

Apr 21, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mario Alejandro Rangel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Community Denture Clinic LLC

  • Denturist
  • Pasco, WA
  • NPI 1851288369
  NPD Authorized official

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1760279111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083571",
            "telephone_number": "509-654-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 A ST",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581334",
            "telephone_number": "541-559-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W Lewis St Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015645",
            "country_code": "US",
            "telephone_number": "509-906-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "ALEX",
        "middle_name": "MARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN61459006",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "10269837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "RANGEL",
            "middle_name": "ALEJANDRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Myrtle Point of Cascadia, LLC
• New Creations LLC 1111
• Kyle O'Hara
• Kaylie Marie Parrish
• Michelle L Petersen, RPH
• Sapphire at Myrtle Creek LLC
• Sapphire at Myrtle Point, LLC
• Semperts Rexall Drug Store Inc

• Denturist in Myrtle Point, OR
• Providers in Myrtle Point, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.