Iyamilet Vargas Alvarez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4772 Issued in AR

Practice address

3500 Black Forest Dr # 1
Fayetteville, AR 72704-6551

Phone

(479) 888-5119

NPI assigned

Jul 2, 2024

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1518703123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 W EARNHARDT DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046091",
            "telephone_number": "305-896-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BLACK FOREST DR # 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046551",
            "telephone_number": "479-888-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS ALVAREZ",
        "first_name": "IYAMILET",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4772",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "4772",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "4772",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "4772",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "4772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Douglas Vanderpool, M.D.
• Kelvin Vann
• Terry Gene Vansandt, MHPP
• Carol Esther Vanscyoc, O.D.
• Vantage Point of Nwa
• Adrian Leigh Varnadore, LAC
• Rikhav Vasanwala, MD
• Monica Vasiloff
• Rodney Andrew Vasques
• Barbara Lynn Vaughan, ATR MA

• Dentist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.