Gloria Alvarez-Kiely, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011533 Issued in GA

Practice address

355 S Atlanta St
Roswell, GA 30075-4934

Phone

(770) 998-1466

Fax

(770) 998-2398

NPI assigned

Jan 24, 2013

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 21, 2017 through Aug 21, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roswell Dental Studio PC

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1477968410
  NPD (past) Authorized official
• Villar Dentistry Roswell LLC

  • General Practice Dentistry
  • Roswell, GA
  • NPI 1457226250
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405728000000",
    "number": "1306184460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754934",
            "telephone_number": "770-998-1466",
            "fax_number": "770-998-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S ATLANTA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754934",
            "telephone_number": "770-998-1466",
            "fax_number": "770-998-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-KIELY",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2014-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpharetta Proadjuster Wellness Center
• Alpharetta Women'S Specialists
• Paul Alphonse Jr., M.D.
• Wesley Terrell Alston, NP
• Craig E Altman, DMD
• Amate, LTD.
• Ambulatory Anesthesia Specialists, LLC
• Amedisys Georgia, L.L.C.
• Amenity Home Care of Georgia LLC
• American Homepatient, Inc.

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.