Hiram Amado Garcia Rivera, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

053716 Issued in NY

Practice address

19472 US Rte 11
Ste 201W
Watertown, NY 13601

Phone

(315) 755-6725

Fax

(315) 755-6756

NPI assigned

Jun 28, 2008

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Hiram a Garcia Dental Implants and Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Watertown, NY
  • NPI 1437780442
  NPD Authorized official

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1386806578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19472 U.S ROUTE 11",
            "address_2": "SUITE 201W",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014037",
            "telephone_number": "315-755-6725",
            "fax_number": "315-755-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19472 US RTE 11",
            "address_2": "STE 201W",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-755-6725",
            "fax_number": "315-755-6756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014084",
            "country_code": "US",
            "telephone_number": "315-788-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA RIVERA",
        "first_name": "HIRAM",
        "middle_name": "AMADO",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-28",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Gahler, PT
• Robin D Gaines, R.N.
• Brandi Lee Gallo, PRS/PSR
• Shawna Sierra Galloway, LPN
• Sandra Yvonne Gantt, LPN
• Randy Gardner, CASAC
• Anna Elizabeth Garrabrant, MSN, APRN, FNP-BC
• James Garrison
• Noah Gates, PA
• Itagegnehou Gedamu, DMD

• Oral and Maxillofacial Surgery (Dentist) in Watertown, NY
• Providers in Watertown, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.