Active NPI
Vicki Anne Rivera, DMD
- Dentist
- Allston, MA
National Provider Identifier
1114153632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855127
- Practice address
- 287 Western Ave
Allston, MA 02134-1010 - Phone
- (617) 783-0500
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1855127 | MA | Primary |
Addresses
Primary practice location
287 Western Ave
Allston, MA 02134-1010
Mailing address
22 Peoples PL
Haverhill, MA 01832-3654
Phone (916) 397-7860
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles River Community Health Inc | Past | Accepting new patients | |
| Mt Auburn Professional Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Brighton, MA
- NPI 1487664884
-
- Obstetrics & Gynecology Physician
- Watertown, MA
- NPI 1407865439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1114153632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PEOPLES PL",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018323654",
"telephone_number": "916-397-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 WESTERN AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341010",
"telephone_number": "617-783-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "VICKI",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.