Joanne P. Rivera, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50358 Issued in CA

Practice address

120 W. American Canyon Rd.
Suite M-8
American Canyon, CA 94503

Phone

(707) 557-9080

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canyon Ranch Dental Care Inc.

  • Dentist
  • American Canyon, CA
  • NPI 1104751742
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316091309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W. AMERICAN CANYON RD.",
            "address_2": "SUITE M-8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "94503",
            "telephone_number": "707-557-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W. AMERICAN CANYON RD.",
            "address_2": "SUITE M-8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "94503",
            "telephone_number": "707-557-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOANNE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ramos Navarro
• Nashira Ransom
• Stephen Gregory Rasmussen, DC
• Jeannine Joyce Ray, LMFT
• Monica Recio
• William Rivera
• Rochelle Manangkil DDS Inc.
• Angelica Rodrigues
• Jasmin Rodrigues
• Israel Rodriguez

• General Practice Dentistry in American Canyon, CA
• Providers in American Canyon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.