Individual provider Active NPI

Dasiy Patricia Alvarenga, DDS

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1609086966
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54121 Issued in CA
Practice address
1814 W Lincoln Ave Ste B
Anaheim, CA 92801-6730
Phone
(714) 399-0487
NPI assigned
May 23, 2007
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54121 CA Primary

Addresses

Primary practice location

1814 W Lincoln Ave Ste B
Anaheim, CA 92801-6730

Mailing address

1814 W Lincoln Ave Ste B
Anaheim, CA 92801-6730
Phone (714) 399-0487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000661 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981853470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1609086966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 W LINCOLN AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016730",
            "telephone_number": "714-399-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 W LINCOLN AVE STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016730",
            "telephone_number": "714-399-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARENGA",
        "first_name": "DASIY",
        "middle_name": "PATRICIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.