Active NPI
Tristi N Oliveira, D.M.D.
- Pediatric Dentistry
- Hyannis, MA
National Provider Identifier
1568689404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 21664
- Practice address
- 407 North St
Hyannis, MA 02601-5121 - Phone
- (508) 771-0920
- NPI assigned
- Apr 20, 2007
- Last updated
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 21664 | MA | Primary |
Addresses
Primary practice location
407 North St
Hyannis, MA 02601-5121
Mailing address
407 North St
Hyannis, MA 02601-5121
Phone (508) 771-0920
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 |
|---|---|---|---|
| 21664 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1568689404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 NORTH ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015121",
"telephone_number": "508-771-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 NORTH ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015121",
"telephone_number": "508-771-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEIRA",
"first_name": "TRISTI",
"middle_name": "N",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "21664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.