Active NPI
Alejandra Nathalie Rivera, DDS
- Pediatric Dentistry
- Tampa, FL
National Provider Identifier
1487181541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN23280
- Practice address
- 10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741 - Phone
- (813) 774-6003
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 100148515 | WI | |
| Pediatric Dentistry | 1223P0221X | DN23280 | FL | Primary |
Addresses
Primary practice location
10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741
Mailing address
10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741
Phone (813) 774-6003
Other practice location 1
526 S Monroe Ave
Green Bay, WI 54301-4018
Phone (920) 965-0831
Other practice location 2
2247 Fox Heights Ln
Green Bay, WI 54304-4747
Phone (920) 965-0831
Other practice location 3
601 S Florida Ave
Lakeland, FL 33801-5237
Phone (863) 688-0841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23280 | FL | MD | Pediatric Dentist |
| 100148515 | WI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1487181541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10909 W LINEBAUGH AVE STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261741",
"telephone_number": "813-774-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10909 W LINEBAUGH AVE STE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261741",
"telephone_number": "813-774-6003"
}
],
"practiceLocations": [
{
"address_1": "526 S Monroe Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543014018",
"country_code": "US",
"telephone_number": "920-965-0831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2247 Fox Heights Ln",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543044747",
"country_code": "US",
"telephone_number": "920-965-0831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 S Florida Ave",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338015237",
"country_code": "US",
"telephone_number": "863-688-0841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "ALEJANDRA",
"middle_name": "NATHALIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "100148515",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN23280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.