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

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• 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)

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

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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 (Live Life Smiling)
• 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

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• 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.