Individual provider Active NPI

Alejandra Fernandez, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
National Provider Identifier
1801137765
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D009875 Issued in AZ
Practice address
215 S Power Rd Ste 101
Mesa, AZ 85206-5236
Phone
(520) 630-2022
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 056021 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D009875 AZ Primary

Addresses

Primary practice location

215 S Power Rd Ste 101
Mesa, AZ 85206-5236

Mailing address

70 S Val Vista Dr Ste A3432
Gilbert, AZ 85296-1374

Other practice location 1

6025 N 27th Ave Ste 25
Phoenix, AZ 85017-1765
Phone (520) 630-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20161101002102 NY Order and Referring Only - DentistPractitioner - Dentist 4284912809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D009875AZMDOrthodontics and Dentofacial Orthopedic Dentist
056021NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1801137765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3432",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065236",
            "telephone_number": "520-630-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 N 27th Ave Ste 25",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850171765",
            "country_code": "US",
            "telephone_number": "520-630-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "056021",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D009875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.