Organization Active NPI

Loren D Alves, DMD, PA

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1497029755
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15284 Issued in TX
Legal business name
LOREN D ALVES, DMD, PA
Practice address
1954 E Houston St
Ste. 210
San Antonio, TX 78202-2951
Phone
(210) 208-6525
Fax
(210) 208-6528
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Loren D. Alves, DMD
Title
President
Phone
(210) 208-6525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 15284 TX Primary

Addresses

Primary practice location

1954 E Houston St
Ste. 210
San Antonio, TX 78202-2951

Mailing address

1954 E Houston St
Ste. 210
San Antonio, TX 78202-2951
Phone (210) 208-6525

Other identifiers 1

IdentifierTypeStateIssuer
151152902MedicaidTX

National Provider Directory

National Provider Directory

Locations

1954 E Houston St
Rm 210
San Antonio, TX 78202
Phone (210) 208-6525

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1497029755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 E HOUSTON ST",
            "address_2": "STE. 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022951",
            "telephone_number": "210-208-6525",
            "fax_number": "210-208-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 E HOUSTON ST",
            "address_2": "STE. 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022951",
            "telephone_number": "210-208-6525",
            "fax_number": "210-208-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN D ALVES, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "ALVES",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-208-6525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "15284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151152902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 2012; 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.