Jayson Xavier Rivera, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1857498 Issued in MA

Practice address

164 Dean St
Taunton, MA 02780-2716

Phone

(518) 596-3779

NPI assigned

Jan 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

Dentist

Education

University of Puerto Rico School of Dentistry, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rivera Dental PLLC

  • General Practice Dentistry
  • Taunton, MA
  • NPI 1770198756
  NPD Authorized official
• Ra Dental Group, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mayaguez, PR
  • NPI 1578412839
  Medicare reassignment
• Blue Ridge Community Health Services, Inc.

  dba Blue Ridge Community Health Service

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1457332421

  General Practice

  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1205106606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 DEAN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802716",
            "telephone_number": "518-596-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 DEAN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802716",
            "telephone_number": "518-596-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JAYSON",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2891",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1857498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Edge Care Center LLC (River Edge Care Center)
• Rivera Dental PLLC
• Angelis Rivera
• Carlos Ruben Rivera Jr.
• Carmen Iris Rivera, RN
• Riverbend Care Center LLC (Riverbend Care Center)
• Rivers Edge Care Center LLC (Rivers Edge Care Center)
• Rivers of Hope, Inc (Rivers of Hope)
• Rivers of Hope, Inc (Rivers of Hope)
• Rivers of Hope, Inc (Rivers of Hope)

• General Practice Dentistry in Taunton, MA
• Providers in Taunton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.