NPIMap

Organization Active NPI

Jason R Alvarez Dentistry LLC

  • Dentist
  • Mandeville, LA
National Provider Identifier
1669908679
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6261 Issued in LA
Legal business name
JASON R ALVAREZ DENTISTRY LLC
Practice address
2881 Highway 190
Suite D4
Mandeville, LA 70471-3248
Phone
(985) 626-8980
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Jason R Alvarez, DDS
Title
Dentist
Phone
(504) 258-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6261 LA Primary

Addresses

Primary practice location

2881 Highway 190
Suite D4
Mandeville, LA 70471-3248

Mailing address

6439 Catina St
New Orleans, LA 70124-2032
Phone (504) 258-1022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1669908679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 CATINA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242032",
            "telephone_number": "504-258-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 HIGHWAY 190",
            "address_2": "SUITE D4",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713248",
            "telephone_number": "985-626-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R ALVAREZ DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "504-258-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "6261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.