Organization Active NPI

Marilyn Rivero Koutrakis

Doing business as Marilyn Rivero D.M.D., P.C.

  • Dentist
  • Framingham, MA
National Provider Identifier
1114104510
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARILYN RIVERO KOUTRAKIS
Doing business as
Marilyn Rivero D.M.D., P.C.
Practice address
235 Walnut Street
Framingham, MA 01702
Phone
(508) 872-4848
Fax
(508) 872-4849
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Marilyn Rivero Koutrakis, D.M.D.
Title
Dentist
Phone
(508) 872-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

235 Walnut Street
Framingham, MA 01702

Mailing address

235 Walnut Street
Framingham, MA 01702
Phone (508) 872-4848

Other names 1

  • Marilyn Rivero D.M.D., P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1114104510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WALNUT STREET",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-872-4848",
            "fax_number": "508-872-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WALNUT STREET",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-872-4848",
            "fax_number": "508-872-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN RIVERO KOUTRAKIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "RIVERO KOUTRAKIS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "508-872-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marilyn Rivero D.M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.