Active NPI
Jeffrey Joel Alvis, M.D.
- Pediatric Adolescent Medicine Physician
- McKinney, TX
National Provider Identifier
1124071667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- K7645
- Practice address
- 175 Ridge Rd
Suite 200
McKinney, TX 75070-5102 - Phone
- (214) 544-2555
- Fax
- (214) 544-2550
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | K7645 | TX | Primary |
Addresses
Primary practice location
175 Ridge Rd
Suite 200
McKinney, TX 75070-5102
Mailing address
175 Ridge Rd
Suite 200
McKinney, TX 75070-5102
Phone (214) 544-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K8380 | Other | TX | BLUE CROSS & BLUE SHIELD |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K7645 | TX | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonebridge Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- McKinney, TX
- NPI 1760677538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1124071667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 RIDGE RD",
"address_2": "SUITE 200",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705102",
"telephone_number": "214-544-2555",
"fax_number": "214-544-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 RIDGE RD",
"address_2": "SUITE 200",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705102",
"telephone_number": "214-544-2555",
"fax_number": "214-544-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVIS",
"first_name": "JEFFREY",
"middle_name": "JOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "K7645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "8K8380",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.