Individual provider Active NPI

Robert A Alvarenga, D.M.D.

  • Periodontics
  • West Lebanon, NH
National Provider Identifier
1902907710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
1822 Issued in NH
Practice address
1 Oak Ridge Rd
West Lebanon, NH 03784-3121
Phone
(603) 643-5730
Fax
(603) 643-1703
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
1822NHMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Family Medicine, LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 1822 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Oak Ridge Rd
West Lebanon, NH 03784-3121

Mailing address

1 Oak Ridge Rd
West Lebanon, NH 03784-3121
Phone (603) 643-5730

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902907710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAK RIDGE RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037843121",
            "telephone_number": "603-643-5730",
            "fax_number": "603-643-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAK RIDGE RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037843121",
            "telephone_number": "603-643-5730",
            "fax_number": "603-643-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARENGA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

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.

Verify at the official NPI Registry.