Alvin John Cenabre, DDS

Key facts

NPI

1184787293

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

55203 (CA)

Practice address

16985 South Monterey Rd.
Suite a-300
Morgan Hill, CA 95037

Phone

(408) 778-8555

Fax

(408) 778-8558

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2009.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1184787293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16985 SOUTH MONTEREY RD.",
            "address_2": "SUITE A-300",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-778-8555",
            "fax_number": "408-778-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16985 SOUTH MONTEREY RD.",
            "address_2": "SUITE A-300",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-778-8555",
            "fax_number": "408-778-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENABRE",
        "first_name": "ALVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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