Organization Active NPI

Luis J Alvarez DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bethlehem, PA
National Provider Identifier
1679640544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS029372L Issued in PA
Legal business name
LUIS J ALVAREZ DDS PC
Practice address
190 Brodhead Road
Suite 110
Bethlehem, PA 18017
Phone
(610) 974-8844
Fax
(610) 974-9398
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Javier Alvarez, DDS
Title
President
Phone
(610) 974-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DS029372L PA Primary

Addresses

Primary practice location

190 Brodhead Road
Suite 110
Bethlehem, PA 18017

Mailing address

190 Brodhead Road
Suite 110
Bethlehem, PA 18017
Phone (610) 974-8844

Other identifiers 1

IdentifierTypeStateIssuer
885178OtherPAUNITED CONCORDIA

Other names 1

  • Alvarez Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

190 Brodhead Rd
Ste 110
Bethlehem, PA 18017
Phone (610) 974-8844

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679640544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD ROAD",
            "address_2": "SUITE 110",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-974-8844",
            "fax_number": "610-974-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD ROAD",
            "address_2": "SUITE 110",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-974-8844",
            "fax_number": "610-974-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS J ALVAREZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-974-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS029372L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "885178",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvarez Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.