Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144619982 Individual Practitioner Male Practitioner

Dr. Alexander Jake Alfonso Moreno , DDS

Dentist - General Practice • Chico, CA

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Jake Moreno, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chico, CA. Practice services are available at 101 RALEY BLVD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Raley Blvd Ste 202

Chico, CA 959288352

Telephone 5305924688

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chico, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
54 Specialists

Practicing in Chico, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 64065

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rylan Gustafson

Dentist - Endodontics

NPI 1245226752
Dr. David Lim , DMD

Dentist - Endodontics

NPI 1295119972

Doctor of Dental Medicine

NPI 1518024157

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 02, 2024

Registered at 101 RALEY BLVD STE 202, CHICO, CA 959288352 (Tel: 5305924688)

📍
Updated Business Mailing Address August 02, 2024

Registered at 101 RALEY BLVD STE 202, CHICO, CA 959288352 (Tel: 5305924688)

NPI Profile Active January 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2015

Registered at 178 S VICTORIA AVE, SUITE C, VENTURA, CA 930034329 (Tel: 8056580700)

📍
Updated Business Mailing Address January 16, 2015

Registered at 178 S VICTORIA AVE, SUITE C, VENTURA, CA 930034329 (Tel: 8056580700)

👤
Provider Name / Credentials Updated January 16, 2015

Recorded as ALEXANDER JAKE MORENO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2015

Dentist (License #64065 in CA)

🟢
Initial NPI Registration & Enumeration January 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144619982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2015
Last Update: August 02, 2024
Sole Proprietor: No

Mailing Address

101 Raley Blvd Ste 202

Chico, CA 959288352

Phone: 5305924688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.