Individual provider Active NPI

Robert Thomas Silvola, DDS

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1073662235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31531 Issued in CA
Practice address
12810 Heacock St
Ste B103
Moreno Valley, CA 92553-3171
Phone
(951) 242-3441
Fax
(951) 242-9544
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31531 CA Primary

Addresses

Primary practice location

12810 Heacock St
Ste B103
Moreno Valley, CA 92553-3171

Mailing address

12810 Heacock St
Ste B103
Moreno Valley, CA 92553-3171
Phone (951) 242-3441

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160411000188 CA Order and Referring Only - DentistPractitioner - Dentist 9335447259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sina Nia, DMD, Inc. PastSince Nov 24, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073662235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "STE B103",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533171",
            "telephone_number": "951-242-3441",
            "fax_number": "951-242-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "STE B103",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533171",
            "telephone_number": "951-242-3441",
            "fax_number": "951-242-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVOLA",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.