Aleser Pookayaporn Alahmad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001528-15 Issued in WI

Practice address

5337 W Grande Market Dr
Appleton, WI 54913-8442

Phone

(920) 750-7334

Fax

(920) 404-2351

NPI assigned

Jun 5, 2024

Sex

Male

Sole proprietor

No

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.

• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Appleton, WI
  • NPI 1225074008
  NPD (past)
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Waupaca, WI
  • NPI 1689294159
  NPD (past)
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oshkosh, WI
  • NPI 1770103236
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2024.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1992546501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138442",
            "telephone_number": "920-750-7334",
            "fax_number": "920-404-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 City Ctr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549014830",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811471",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAHMAD",
        "first_name": "ALESER",
        "middle_name": "POOKAYAPORN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001528-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahp 007
• Elisa Marie Ahrens
• Jessica Ahrens, CSAC
• Maria Vladimirovna Akhutina, MD
• Arshad Al-Mashhadani, MD
• Rana Sameer Alahmedi
• Maurizio Zeki Albala, M.D.
• Jordyn Albrecht, MGCS, CGC
• Gregory A. Aleff, LCSW
• Kayla Aleson, MSW

• All providers in Appleton, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.