NPIMap

Organization Active NPI

Vallo Riverview, PLLC

Doing business as The Dental Boutique Riverview

  • General Practice Dentistry
  • Riverview, FL
National Provider Identifier
1598529687
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VALLO RIVERVIEW, PLLC
Doing business as
The Dental Boutique Riverview
Practice address
10555 Bloomingdale Ridge Dr
Riverview, FL 33578
Phone
(813) 252-2273
Fax
(813) 940-5182
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew Michael Vallo, DDSNPI 1114379500
Title
Dentist
Phone
(813) 252-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10555 Bloomingdale Ridge Dr
Riverview, FL 33578

Mailing address

10909 W Linebaugh Ave Ste 100
Tampa, FL 33626-1741
Phone (813) 536-7766

Other names 1

  • THE DENTAL BOUTIQUE RIVERVIEW Doing business as

National Provider Directory

National Provider Directory

Locations

10555 Bloomingdale Ridge Dr
Riverview, FL 33578
Phone (813) 252-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1598529687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 W LINEBAUGH AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261741",
            "telephone_number": "813-536-7766",
            "fax_number": "813-444-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 BLOOMINGDALE RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-252-2273",
            "fax_number": "813-940-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLO RIVERVIEW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "VALLO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-252-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DENTAL BOUTIQUE RIVERVIEW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.