Individual provider Active NPI

Alexandria Gomola, DMD

  • General Practice Dentistry
  • Saint Joseph, MI
National Provider Identifier
1780357608
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601151 Issued in MI
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
2901601151MIMDGeneral Practice Dentistry
1002641-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W Howenstine DDS PLLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

3386 Niles Rd
Saint Joseph, MI 49085
Phone (269) 281-8080

Interoperability endpoints

  • Direct secure messaging: aostrowski600801@direct.ochin.org
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.