Individual provider Active NPI

Karen Vanessa Alvarenga, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1093074791
Registry record updated May 26, 2015
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60668 Issued in CA
Practice address
8856 Arlington Ave
Riverside, CA 92503-1365
Phone
(951) 710-3970
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60668 CA Primary

Addresses

Primary practice location

8856 Arlington Ave
Riverside, CA 92503-1365

Mailing address

11660 Church St Apt 242
Rancho Cucamonga, CA 91730-8931
Phone (909) 261-4791

Other names 1

  • Dr. Karen Vanessa Alvarenga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714000368 CA Order and Referring Only - DentistPractitioner - Dentist 7113219924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1093074791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 CHURCH ST APT 242",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308931",
            "telephone_number": "909-261-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8856 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031365",
            "telephone_number": "951-710-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARENGA",
        "first_name": "KAREN",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "ALVARENGA",
            "middle_name": "VANESSA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.