Dennis T Alter MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0054825 Issued in FL

Legal business name

DENNIS T ALTER MD PA

Practice address

21 Hospital Dr
Suite 110
Palm Coast, FL 32164-2380

Phone

(386) 586-1370

Fax

(386) 586-1369

NPI assigned

Apr 26, 2007

Organization subpart

Yes

Parent organization

DENNIS T ALTER MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Dennis Thomas Alter, M.D.

Title

President

Phone

(386) 586-1370

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

John M Russell MD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1932329653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR",
            "address_2": "SUITE 110",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642380",
            "telephone_number": "386-586-1370",
            "fax_number": "386-586-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR",
            "address_2": "SUITE 110",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642380",
            "telephone_number": "386-586-1370",
            "fax_number": "386-586-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS T ALTER MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENNIS T ALTER MD PA",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-586-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0054825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE8874",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254768600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Delsordo
• Deltona'S Step by Step Inc
• Juliana Demello, APRN
• Sarah Cockrell Demoville, P.T.
• Megan Dempsey, COTA
• Alexandria Laneccea Dennis
• Dorothea Michelle Denson
• Dental Specialists of North Florida LLC
• Dermatology Associates of Northeast Florida, PA
• Julia Desalvo

• Specialist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.