Ana Vives Barreto

Primary specialty

DentistTaxonomy code 122300000X

License

D10286 Issued in OR

Practice address

948 NE 102ND Ave
Suite # 105
Portland, OR 97220-4064

Phone

(503) 719-7335

Fax

(503) 253-6531

NPI assigned

May 6, 2015

Sex

Female

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 OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1275910598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 NE 102ND AVE",
            "address_2": "SUITE # 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204064",
            "telephone_number": "503-719-7335",
            "fax_number": "503-253-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 NE 102ND AVE",
            "address_2": "SUITE # 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204064",
            "telephone_number": "503-719-7335",
            "fax_number": "503-253-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVES BARRETO",
        "first_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64475",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivanta Neuro Geriatric Clinic
• Vivante Midwifery, Inc.
• Anna Vivatson, OT
• Amber Vivenzi
• Erika Viveros-Leon
• Alexa Viviano, MS, RD, LD
• Viyada Thongouthaithip MD & Carmelindo Siqueira Jr MD PC
• Maria Vlachou, MD
• Anatoliy Vlasenko, MD
• Angelika Vlasenko, RN

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.