Active NPI
Alfred Ernest Aguero, DMD
- Periodontics
- Moultrie, GA
National Provider Identifier
1811019706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 010868
- Practice address
- 1932 S Main St
Moultrie, GA 31768-6524 - Phone
- (229) 985-6499
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 010868 | GA | Primary |
Addresses
Primary practice location
1932 S Main St
Moultrie, GA 31768-6524
Mailing address
PO Box 2666
Moultrie, GA 31776-2666
Phone (229) 985-6499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119002569 | GA | Order and Referring Only - Oral Surgery | 8022311463 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010868 | GA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811019706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2666",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317762666",
"telephone_number": "229-985-6499",
"fax_number": "229-985-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 S MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686524",
"telephone_number": "229-985-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUERO",
"first_name": "ALFRED",
"middle_name": "ERNEST",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "GA",
"license": "010868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moultrie, GA
- Jack Loran Adams III, R.PH., PHARM. D.
- Kaley Adams, PNP
- Adcock Center for Women's Health PA
- Toluwani Olugbenga Adebisi, MD
- Anthony Adebayo Adetomiwa, MD
- Amal Akhtar, DO
- Akri Trucking and Logistics
- Camille Akridge, D.C
- Muhammad Mahmood Alam, M.D.
- Albany Area Primary Health Care, Inc. (AAPHC Covenant Counseling Center, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.