Individual provider Active NPI

Alexander Brian Yaldoo, DMD

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1922650852
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26704 Issued in FL
Practice address
2685 Ulmerton Rd Ste 103
Clearwater, FL 33762-3332
Phone
(727) 572-4063
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN26704 FL Primary

Addresses

Primary practice location

2685 Ulmerton Rd Ste 103
Clearwater, FL 33762-3332

Mailing address

2685 Ulmerton Rd Ste 103
Clearwater, FL 33762-3332
Phone (727) 572-4063

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN26704FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Family Dentistry General Practice Past Accepting new patients
Michael R. Reich, D.D.S., P.C. General Practice Past Accepting new patients
Professional Dental Alliance of Clearwater, PLLC PastSince Sep 25, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1922650852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ULMERTON RD STE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623332",
            "telephone_number": "727-572-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ULMERTON RD STE 103",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623332",
            "telephone_number": "727-572-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALDOO",
        "first_name": "ALEXANDER",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.