CMS-1500 Box 24J / 33a • NPI
1942753595
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
1223X0400X
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
235 E BEVERLY BLVD, MONTEBELLO, CA, 90640-3776
✓ 9-Digit EDI 837 ZIP+4 (90640-3776)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942753595 (ALEXANDRIAN DENTISTRY INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1942753595 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALEXANDRIAN DENTISTRY INC. |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223X0400X (Dentist, Orthodontics and Dentofacial Orthopedics) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 235 E BEVERLY BLVD, MONTEBELLO, CA, 90640-3776 |
| Practice Telephone / Fax | Tel: (323) 721-4328 | Fax: (323) 721-3043 |
| Administrative Mailing Address | 15643 SHERMAN WAY, VAN NUYS, CA, 91406-4135 |
| Enumeration & Last Sync | Enumerated: 2016-08-01 | CMS Record Updated: 2016-11-28 |
| Authorized Official | NAREG ALEXANDRIAN (owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1223X0400X)
What Does Taxonomy Code 1223X0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223X0400X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALEXANDRIAN DENTISTRY INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223X0400X — Dentist, Orthodontics and Dentofacial OrthopedicsPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: CA | License: 49835 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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