Cedric Lee Alvarez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22729 Issued in TX

Practice address

17230 Autry Pond Ste 115
San Antonio, TX 78247-2097

Phone

(210) 396-7667

Fax

(210) 396-7556

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Local Texas Dental Practice, PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1215697073
  NPD
• Texas Dental Specialist Practice, PLLC

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1093457012
  NPD
• Ocean Dental of Texas, P.C.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1780847962
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1609974989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 AUTRY POND STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472097",
            "telephone_number": "210-396-7667",
            "fax_number": "210-396-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 AUTRY POND STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472097",
            "telephone_number": "210-396-7667",
            "fax_number": "210-396-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "CEDRIC",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796880-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Alvarez
• Amaryn Alvarez
• Ana Cristina Alvarez
• Annabeth Alvarez
• Cassie Marie Alvarez
• Cynthia Alvarez, RN
• Daniel Gerardo Alvarez, BA,MA
• Daphne Alvarez
• Devina Alvarez
• Diana Marie Alvarez, M.A, LPC

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.