Individual provider Active NPI

Andrew Alido Rivamonte, D.D.S.

  • General Practice Dentistry
  • Napa, CA
National Provider Identifier
1184852691
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59690 Issued in CA
Practice address
1260 Trancas St
Napa, CA 94558-2910
Phone
(707) 501-5102
NPI assigned
Jun 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020053 MI
General Practice Dentistry 1223G0001X 59690 CA Primary

Addresses

Primary practice location

1260 Trancas St
Napa, CA 94558-2910

Mailing address

PO Box 20305
El Sobrante, CA 94820-0305

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
I20151028000090 CA Order and Referring Only - DentistPractitioner - Dentist 3779892047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020053MIMDDentist
59690CAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: arivamonte@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1184852691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20305",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948200305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582910",
            "telephone_number": "707-501-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAMONTE",
        "first_name": "ANDREW",
        "middle_name": "ALIDO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020053",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.