Active NPI
Rebeca E Piantini Alvarez, MD
- Pediatrics Physician
- Red Oak, TX
National Provider Identifier
1821018680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L0512
- Practice address
- 556 Bluebird LN
Red Oak, TX 75154-4251 - Phone
- (972) 617-6660
- Fax
- (469) 218-0070
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 2, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G69929 | CA | |
| Pediatrics Physician | 208000000X | L0512 | TX | Primary |
Addresses
Primary practice location
556 Bluebird LN
Red Oak, TX 75154-4251
Mailing address
556 Bluebird LN
Red Oak, TX 75154-4251
Phone (972) 617-6660
Other practice location 1
1935 Motor Street
Dallas, TX 75235
Phone (214) 456-7661
Other practice location 2
1935 Motor Street
Dallas, TX 75235
Phone (214) 456-7661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186986901 | Medicaid | TX | |
| 00G699290 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69929 | CA | MD | Pediatrics Physician |
| L0512 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- rpa@tp.pcc-direct.com
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1821018680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 BLUEBIRD LN",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544251",
"telephone_number": "972-617-6660",
"fax_number": "469-218-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 BLUEBIRD LN",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544251",
"telephone_number": "972-617-6660",
"fax_number": "469-218-0070"
}
],
"practiceLocations": [
{
"address_1": "1935 Motor Street",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75235",
"country_code": "US",
"telephone_number": "214-456-7661",
"fax_number": "214-456-6390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1935 Motor Street",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75235",
"country_code": "US",
"telephone_number": "214-456-7661",
"fax_number": "214-456-6390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIANTINI ALVAREZ",
"first_name": "REBECA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G69929",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L0512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186986901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G699290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.