Active NPI
Alexandria Gomola, DMD
- General Practice Dentistry
- Saint Joseph, MI
National Provider Identifier
1780357608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901601151
- Practice address
- 3386 Niles Rd
Saint Joseph, MI 49085-8800 - Phone
- (269) 281-8080
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1002641-15 | WI | |
| General Practice Dentistry | 1223G0001X | 2901601151 | MI | Primary |
Addresses
Primary practice location
3386 Niles Rd
Saint Joseph, MI 49085-8800
Mailing address
906 Lions Park Dr
Saint Joseph, MI 49085-1019
Phone (708) 990-7110
Other names 1
- Alexandria Ostrowski
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601151 | MI | MD | General Practice Dentistry |
| 1002641-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles W Howenstine DDS PLLC | Current | Accepting new patients |
Locations
3386 Niles Rd
Saint Joseph, MI 49085
Phone (269) 281-8080
Interoperability endpoints
- aostrowski600801@direct.ochin.org
- alexandria.ostrowski.p29@direct.fhn-fqhc.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Saint Joseph, MI
- NPI 1356967954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1780357608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 LIONS PARK DR",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851019",
"telephone_number": "708-990-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3386 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490858800",
"telephone_number": "269-281-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMOLA",
"first_name": "ALEXANDRIA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1002641-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901601151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRIA",
"last_name": "OSTROWSKI",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.