Individual provider Active NPI

Ricardo Alexander, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Huntington, NY
National Provider Identifier
1902950421
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
042103 Issued in NY
Practice address
7 High Street
Suite 308
Huntington, NY 11743-3417
Phone
(631) 547-8324
Fax
(631) 271-1148
NPI assigned
Jan 22, 2007
Last updated
May 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 042103 NY Primary

Addresses

Primary practice location

7 High Street
Suite 308
Huntington, NY 11743-3417

Mailing address

7 High Street
Suite 308
Huntington, NY 11743-3417
Phone (631) 547-8324

Other identifiers 1

IdentifierTypeStateIssuer
01132672MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1902950421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HIGH STREET",
            "address_2": "SUITE 308",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433417",
            "telephone_number": "631-547-8324",
            "fax_number": "631-271-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HIGH STREET",
            "address_2": "SUITE 308",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433417",
            "telephone_number": "631-547-8324",
            "fax_number": "631-271-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "042103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01132672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.