Luis Miguel Alvarado Amado, DDS, MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

6814 Issued in LA

Practice address

275 Kayla St Ste 100
Shreveport, LA 71105-4257

Phone

(318) 996-3949

Fax

(318) 545-5593

NPI assigned

Jul 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• Bryant and Junge PS

  • Prosthodontics
  • Seattle, WA
  • NPI 1588674808
  NPD (past)

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1235484361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 KAYLA ST STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054257",
            "telephone_number": "318-996-3949",
            "fax_number": "318-545-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 KAYLA ST STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054257",
            "telephone_number": "318-996-3949",
            "fax_number": "318-545-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO AMADO",
        "first_name": "LUIS MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "LA",
            "license": "6814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thannon Alsaeed
• Yousef Alshamrani, DDS
• Ronald Teddie Alsup, MD
• Ayesha Altaf
• Alternative Intervention
• Sergio Enrique Alvarado Montalvo, MD
• Michelle Alvarado
• Bruno Alvarez Concejo, M.D.
• Gonzalo Alvarez del Real, MD
• Becky Elise Alvarez, MSN, APRN-BC, ACNP

• Prosthodontics in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Prosthodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.