Active NPI
Gayne James Alexander Sr., D.D.S.
- Dentist
- Coalinga, CA
National Provider Identifier
1972787828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24424
- Practice address
- 24863 W. Jayne Ave.
Plesant Valley State Prison
Coalinga, CA 93210 - Phone
- (559) 935-4900
- NPI assigned
- Dec 27, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 24424 | CA | Primary |
Addresses
Primary practice location
24863 W. Jayne Ave.
Plesant Valley State Prison
Coalinga, CA 93210
Mailing address
PO Box 8500
24863 W.Jayne Ave.
Coalinga, CA 93210
Phone (559) 935-4900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24424 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Coalinga, CA
- NPI 1427684257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1972787828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500",
"address_2": "24863 W.JAYNE AVE.",
"city": "COALINGA",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24863 W. JAYNE AVE.",
"address_2": "PLESANT VALLEY STATE PRISON",
"city": "COALINGA",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "GAYNE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "24424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.