Active NPI
Walter Lopez Alvarez, D.D.S
- Pediatric Dentistry
- Harlingen, TX
National Provider Identifier
1710034004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 20642
- Practice address
- 1214 Dixieland Rd
Suite #4
Harlingen, TX 78552-3351 - Phone
- (956) 428-5322
- Fax
- (956) 428-7986
- NPI assigned
- Jan 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 20642 | TX | Primary |
Addresses
Primary practice location
1214 Dixieland Rd
Suite #4
Harlingen, TX 78552-3351
Mailing address
1214 Dixieland Rd
Suite #4
Harlingen, TX 78552-3351
Phone (956) 428-5322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1603024 | Other | TX | UNITED CONCORDIA |
| 88D740 | Other | TX | BLUE CROSS BLUE SHILED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20642 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710034004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 DIXIELAND RD",
"address_2": "SUITE #4",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523351",
"telephone_number": "956-428-5322",
"fax_number": "956-428-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 DIXIELAND RD",
"address_2": "SUITE #4",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523351",
"telephone_number": "956-428-5322",
"fax_number": "956-428-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ ALVAREZ",
"first_name": "WALTER",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "20642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1603024",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHILED",
"identifier": "88D740",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.