DR. ALEXANDER JAKE ALFONSO MORENO D.D.S.
NPI 1144619982
Dentist - General Practice in Chico, CA

Active since January 16, 2015Opted out of Medicare · through Mar 21, 2028
101 RALEY BLVD STE 202, CHICO, CA 95928(530) 592-4688 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alexander Jake Alfonso Moreno D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDER JAKE ALFONSO MORENO D.D.S. (NPI 1144619982) is an individual general practice provider in Chico, California, licensed in California (64065) and active in the NPI registry since January 2015. He has opted out of Medicare through March 21, 2028.

NPPES Registry Identity

NPI1144619982
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALEXANDER JAKE ALFONSO MORENOCredential: D.D.S.
Location Address101 RALEY BLVD STE 202Chico, CA 95928-8352
Mailing Address101 Raley Blvd Ste 202Chico, CA 95928-8352 · (530) 592-4688
Sole ProprietorNo
Enumeration DateJanuary 16, 2015
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
NPI 1144619982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 64065
Definition
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.
101 RALEY BLVD STE 202, Chico, CA 95928

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Alexander Jake Alfonso Moreno D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 21, 2016 through March 21, 2028.

Opt-Out Effective DateMarch 21, 2016
Opt-Out In Effect ThroughMarch 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Endodontics)
101 RALEY BLVD STE 202
CHICO, CA 95928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Jake Moreno's NPI number?

The NPI number for Alexander Jake Moreno is 1144619982. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Where is Alexander Jake Moreno located?

Alexander Jake Moreno practices at 101 Raley Blvd Ste 202, Chico, CA 95928. The listed phone number is (530) 592-4688.

What is Alexander Jake Moreno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Alexander Jake Moreno enrolled in Medicare?

No. Alexander Jake Moreno has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Alexander Jake Moreno accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Alexander Jake Moreno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander Jake Moreno was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.