Individual provider Active NPI

Arelvis A. Narvaez, DDS

  • Dentist
  • Carson, CA
National Provider Identifier
1124216007
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56354 Issued in CA
Practice address
23601 Avalon Blvd
Suite 101
Carson, CA 90745-5520
Phone
(310) 233-2525
Fax
(310) 233-2530
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56354 CA Primary

Addresses

Primary practice location

23601 Avalon Blvd
Suite 101
Carson, CA 90745-5520

Mailing address

23601 Avalon Blvd
Suite 101
Carson, CA 90745-5520
Phone (310) 233-2525

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
I20160620001762 CA Order and Referring Only - DentistPractitioner - Dentist 7012208267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56354CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1124216007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23601 AVALON BLVD",
            "address_2": "SUITE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455520",
            "telephone_number": "310-233-2525",
            "fax_number": "310-233-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23601 AVALON BLVD",
            "address_2": "SUITE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455520",
            "telephone_number": "310-233-2525",
            "fax_number": "310-233-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARVAEZ",
        "first_name": "ARELVIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.