Active NPI
Richard J. Alvarez, D.D.S.
- Dentist
- Branson, MO
National Provider Identifier
1619081957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14458
- Practice address
- 1193 Branson Hills Pkwy
Branson, MO 65616-9942 - Phone
- (417) 213-3025
- NPI assigned
- Aug 17, 2006
- Last updated
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5150 | OK | |
| Dentist | 122300000X | 14458 | MO | Primary |
Addresses
Primary practice location
1193 Branson Hills Pkwy
Branson, MO 65616-9942
Mailing address
183 Royal Dornoch Dr
Branson, MO 65616-7414
Phone (417) 320-1043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160901001152 | MO | Order and Referring Only - Dentist | 4981990819 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14458 | MO | MD | Dentist |
| 5150 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapilikisha DMD LLC | Current | Accepting new patients | |
| Simply Smiles Family Dental, Richard Alvarez, DDS, LLC | Current | Accepting new patients |
Locations
1193 Branson Hills Pkwy
Branson, MO 65616
Phone (417) 213-3025
1093 US Highway 60 E
Republic, MO 65738
Phone (417) 732-6785
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Simply Smiles Family Dental
- Dental Clinic/Center
- Republic, MO
- NPI 1760013932
-
- General Practice Dentistry
- Branson, MO
- NPI 1528716172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1619081957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 ROYAL DORNOCH DR",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167414",
"telephone_number": "417-320-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 BRANSON HILLS PKWY",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169942",
"telephone_number": "417-213-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "RICHARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5150",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "14458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.