Active NPI
Alejandro Cavazos, DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1134421795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25539
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25539 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Ridge Dental | Past | Accepting new patients | |
| Stone Ridge Family & Cosmetic Dentistry | General Practice | Past | Accepting new patients |
| Martin G. Garcia DDS PC | Past | 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.
-
- Dentist
- San Antonio, TX
- NPI 1114336682
-
- Dentist
- San Antonio, TX
- NPI 1699142513
-
- General Practice Dentistry
- San Antonio, TX
- NPI 1548534530
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.