Individual provider Active NPI

Alejandro Cavazos, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1134421795
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25539 Issued in TX
Practice address
523 Med CT Ste 106
San Antonio, TX 78258-3359
Phone
(210) 281-5115
Fax
(210) 455-5891
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25539 TX Primary

Addresses

Primary practice location

523 Med CT Ste 106
San Antonio, TX 78258-3359

Mailing address

523 Med CT Ste 106
San Antonio, TX 78258-3359
Phone (210) 281-5115

Other practice location 1

19375 Stone Oak Pkwy
San Antonio, TX 78258-3247
Phone (210) 403-0555

Other practice location 2

3829 Lockhill Selma Rd Ste 103
San Antonio, TX 78230-1762
Phone (210) 366-3606

Other names 1

  • Dr. Alex Cavazos Other name

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
25539TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Ridge Dental Past Accepting new patients
Stone Ridge Family & Cosmetic Dentistry General Practice Past Accepting new patients
Martin G. Garcia DDS PC PastSince Jul 28, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1134421795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 MED CT STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583359",
            "telephone_number": "210-281-5115",
            "fax_number": "210-455-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 MED CT STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583359",
            "telephone_number": "210-281-5115",
            "fax_number": "210-455-5891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 Stone Oak Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583247",
            "country_code": "US",
            "telephone_number": "210-403-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3829 Lockhill Selma Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782301762",
            "country_code": "US",
            "telephone_number": "210-366-3606",
            "fax_number": "210-366-0052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "CAVAZOS",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 23, 2019; 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.