Jose Eugenio Rivadeneira, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22711 Issued in FL

Practice address

10225 Ulmerton Rd Ste 1B
Largo, FL 33771-3522

Phone

(727) 223-4185

Fax

(727) 595-8189

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1376063313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 CHESTERTON PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336351546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 1B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713522",
            "telephone_number": "727-223-4185",
            "fax_number": "727-595-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVADENEIRA",
        "first_name": "JOSE",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Risinger III
• Mark L Ritch, D.O.
• Matthew Ritch, D.O.
• Brooke Ellen Ritter, D.O.
• Jessica Ritzmann, BCBA
• Rivadeneiralpt PLLC
• James F. Rivenbark, M.D.
• River of Life Home Care LLC
• Benjamin John Rivera, DO, MS
• Crystal Rivera, RPH

• Dentist in Largo, FL
• Providers in Largo, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.