Alvaro Adrian Aguirre, D.D.S.
Individual provider Active NPI Dentist · Costa Mesa, CA
NPI 1942536628 · NPPES record last updated Aug 31, 2012
Key facts
- NPI
- 1942536628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 61394 (CA)
- Practice address
- 1170 Baker St
Suite #E
Costa Mesa, CA 92626-4100 - Phone
- (956) 399-4312
- NPI assigned
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201105000492 | CA | Practitioner - Dentist | 3870638026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25018 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvaro Aguirre, DDS Corp. | Current | Accepting new patients | |
| Aguirre Dental Professional Corporation | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25018 | TX | |
| Dentist | 122300000X | 61394 | CA | Yes |
Addresses
Primary practice location
1170 Baker St
Suite #E
Costa Mesa, CA 92626-4100
Mailing address
1170 Baker St
Suite #E
Costa Mesa, CA 92626-4100
Phone (949) 892-8924
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.