Individual provider Active NPI

Jared Michael Louviere, D.D.S.

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1114129764
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23214 Issued in TX
Practice address
7424 W Military Dr
San Antonio, TX 78227-2949
Phone
(210) 332-5999
NPI assigned
Jun 5, 2007
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8276 TN
Dentist 122300000X 23214 TX
Pediatric Dentistry 1223P0221X 23214 TX Primary

Addresses

Primary practice location

7424 W Military Dr
San Antonio, TX 78227-2949

Mailing address

9090 Skillman St
Suite 200C
Dallas, TX 75243-8259
Phone (214) 493-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23214TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox RSVL PLLC Current Accepting new patients
Buckner Rsvglc PLLC Pediatric Dentistry Current Accepting new patients
Aventura Dental Pediatric Dentistry Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1114129764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 SKILLMAN ST",
            "address_2": "SUITE 200C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438259",
            "telephone_number": "214-493-8222",
            "fax_number": "214-420-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 W MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782272949",
            "telephone_number": "210-332-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUVIERE",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8276",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23214",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.