Individual provider Active NPI

Erika Y. Caviedes, D.D.S.

  • General Practice Dentistry
  • Riverview, FL
National Provider Identifier
1265564256
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 17483 Issued in FL
Practice address
13051 Summerfield Square Dr
Riverview, FL 33578-7402
Phone
(813) 672-4900
Fax
(813) 672-4400
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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 DN 17483 FL Primary

Addresses

Primary practice location

13051 Summerfield Square Dr
Riverview, FL 33578-7402

Mailing address

16523 Bridgewalk Dr
Lithia, FL 33547-4839
Phone (917) 952-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 13, 2023 through Oct 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 17483FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Halcyon Dental, P.a. Past Accepting new patients
Halcyon Dental, P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1265564256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16523 BRIDGEWALK DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474839",
            "telephone_number": "917-952-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13051 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-672-4900",
            "fax_number": "813-672-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVIEDES",
        "first_name": "ERIKA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 17483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.