Robert Alavi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47178-02 Issued in CA

Practice address

1420 Guerneville Rd
Suite D2
Santa Rosa, CA 95403-4124

Phone

(707) 578-3776

NPI assigned

Apr 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert Alavi D D S Inc

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1679755771
  NPD (past) Authorized official

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1982960993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 GUERNEVILLE RD",
            "address_2": "SUITE D2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034124",
            "telephone_number": "707-578-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 GUERNEVILLE RD",
            "address_2": "SUITE D2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954034124",
            "telephone_number": "707-578-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47178-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisah Faris Al-Qadi, MD
• Danette Alander
• Orlando E Alarcon, DRUG AND ALCOHOL CER
• Charles Alarie
• Jesarela Alas-Reyes
• Setareh Alavi
• Amanda Albeno
• Angelina Marie Alberigi Donaldson
• Harry Francis Albers, D.D.S.
• Albert J Kastl PHD Inc

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.