Individual provider Active NPI

Alyssa Renee Alvarez

  • Dentist
  • Oakland Park, FL
National Provider Identifier
1336023191
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30474 Issued in FL
Practice address
2701 W Oakland Park Blvd Ste 205B
Oakland Park, FL 33311-1330
Phone
(954) 296-3632
NPI assigned
Aug 4, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN30474 FL Primary

Addresses

Primary practice location

2701 W Oakland Park Blvd Ste 205B
Oakland Park, FL 33311-1330

Mailing address

3333 N Federal Hwy Apt 621
Fort Lauderdale, FL 33306-1092
Phone (786) 537-5596

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
DN30474FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1336023191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N FEDERAL HWY APT 621",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061092",
            "telephone_number": "786-537-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W OAKLAND PARK BLVD STE 205B",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111330",
            "telephone_number": "954-296-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "ALYSSA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.