Alejandro Rene Molina Marmol Jr., DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

105936 Issued in CA

Practice address

585 Telegraph Canyon Rd
Chula Vista, CA 91910-6436

Phone

(619) 421-7010

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Javier Valadez Dental Corporation

  dba Smile San Diego

  • Dental Clinic/Center
  • Chula Vista, CA
  • NPI 1598305419
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1790374197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 CAMINO DE LA PLZ # 208-6189",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921735919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-421-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA MARMOL",
        "first_name": "ALEJANDRO",
        "middle_name": "RENE",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "105936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Moheno, PT, DPT
• Angiolina C. Mohi, MSC,
• Christy Rosa Mohler, M.D.
• Timothy Mok
• Fernando Molina Cervantes, PHARMD
• Maria Camila Molina Velandia, OD
• Beatriz Molina
• Briana Anahi Molina
• Marisela Molina, APCC
• Teresa Marie Molina, ASW

• Public Health Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.