Active NPI
Loren D Alves, DMD, PA
- Pediatric Dentistry
- San Antonio, TX
National Provider Identifier
1497029755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 15284
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151152902 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.