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JERREN MICHAEL ALCALDE DDS
NPI 1164919304
Dentist in Shiprock, NM

Active since April 13, 2018PECOS Enrolled
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001(505) 368-6360 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2019, Apr 13, 2018 (2 updates tracked since 2018).

About Jerren Michael Alcalde Dds NPPES

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

JERREN MICHAEL ALCALDE DDS (NPI 1164919304) is an individual dentist in Shiprock, New Mexico, licensed in Virginia (0401416334) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164919304
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJERREN MICHAEL ALCALDECredential: DDS
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001 · Fax (505) 368-6360
Phone(505) 368-6001
Fax(505) 368-6360
Sole ProprietorNo
Enumeration DateApril 13, 2018
Last NPPES UpdateFebruary 6, 20192 updates tracked since enumeration
✔ NPI 1164919304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401416334
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
US HWY 491 NORTH, Shiprock, NM 87420
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerren Michael Alcalde Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jerren Alcalde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Dominion Health System, Inc.
1,679 mi
Federally Qualified Health Center (FQHC)
1508 K V RD
Victoria, VA 23974
  • Reassigned Medicare billing, Virginia enrollment
  • 23 clinicians in this Medicare group
NPI 1104069996 (434) 696-2319

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 20

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

ZELDA GAIL GARCIA LCSW
Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. MATTHEW S SPIVA DPM
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CYNTHIA L. DUNDER RN
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
JULIE ANN WALKER PHARMD, BCPS
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
San Juan County (505) 386-7266
MS. DONIELLE DAWN BIGMAN FNP-BC
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AIMEE E MCMULLIN MD
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
FLOYD P BOND MD
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
SANDRA BEIRNE MD
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-7060

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 Jerren Alcalde's NPI number?

The NPI number for Jerren Alcalde is 1164919304. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Jerren Alcalde located?

Jerren Alcalde practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Jerren Alcalde's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jerren Alcalde enrolled in Medicare?

Yes. Jerren Alcalde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerren Alcalde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerren Alcalde reassigns Medicare benefits to Southern Dominion Health System, Inc. (Victoria, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerren Alcalde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerren Alcalde accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jerren Alcalde 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 Jerren Alcalde was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.