Active NPI
Dexter Maurice Alexander Sr., SA-C
- Surgical Assistant
- Greenville, NC
National Provider Identifier
1982388070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 01-181
- Practice address
- 1125 Treybrooke Cir
Greenville, NC 27834-9156 - Phone
- (252) 717-5475
- NPI assigned
- Jun 9, 2023
- Last updated
- Jun 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 01-181 | IL | Primary |
Addresses
Primary practice location
1125 Treybrooke Cir
Greenville, NC 27834-9156
Mailing address
712 Cold Creek Blvd
Sandusky, OH 44870-8137
Phone (419) 366-0487
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 |
|---|---|---|---|
| 01-181 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1982388070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 COLD CREEK BLVD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448708137",
"telephone_number": "419-366-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TREYBROOKE CIR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278349156",
"telephone_number": "252-717-5475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "DEXTER",
"middle_name": "MAURICE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "01-181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.