Individual provider Active NPI

Luis J Riberos, DDS

  • General Practice Dentistry
  • San Juan Capistrano, CA
National Provider Identifier
1386808400
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56466 Issued in CA
Practice address
31654 Rancho Viejo Rd Ste I-1
San Juan Capistrano, CA 92675-6754
Phone
(949) 240-4337
Fax
(949) 240-7337
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 56466 CA Primary

Addresses

Primary practice location

31654 Rancho Viejo Rd Ste I-1
San Juan Capistrano, CA 92675-6754

Mailing address

31654 Rancho Viejo Rd Ste I-1
San Juan Capistrano, CA 92675-6754
Phone (949) 240-4337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RW Implants & Cosmetic Dentistry CurrentSince Mar 5, 2023 Accepting new patients

Locations

31654 Rancho Viejo Rd
Ste I-1
San Juan Capistrano, CA 92675
Phone (949) 240-4337

Organizations & group practices 1

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386808400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31654 RANCHO VIEJO RD STE I-1",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756754",
            "telephone_number": "949-240-4337",
            "fax_number": "949-240-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31654 RANCHO VIEJO RD STE I-1",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756754",
            "telephone_number": "949-240-4337",
            "fax_number": "949-240-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEROS",
        "first_name": "LUIS",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.