Lourdes Alvarado, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56378 Issued in CA

Practice address

3814 La Sierra Ave
Riverside, CA 92505-3528

Phone

(951) 729-4800

Fax

(951) 689-4800

NPI assigned

Jan 30, 2008

Last updated

Aug 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lourdes Alvarado Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zambrano & Alvarado DDS Inc

  dba Fresh Smile Dental

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1699280685
  NPD

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1114104205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 MEDICAL CENTER DR STE 3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111257",
            "telephone_number": "909-881-5007",
            "fax_number": "951-689-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 LA SIERRA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053528",
            "telephone_number": "951-729-4800",
            "fax_number": "951-689-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 Medical Center Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924111257",
            "country_code": "US",
            "telephone_number": "909-881-5007",
            "fax_number": "951-689-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "ALVARADO",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edvin Alvarado
• Gissell Alvarado
• Isa Magaly Alvarado
• Javier Alvarado
• Jeffery Alvarado
• Marliz Alvarado
• Michael Vincent Alvarado
• Rebecca Alvarado
• Teresa Alvarado, LMFT
• Vanessa Alvarado

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.