Active NPI
Elba Graciela Olivero, D.D.S.
- Dentist
- Annapolis, MD
National Provider Identifier
1760832083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15956
- Practice address
- 507 S Cherry Grove Ave
Suite a
Annapolis, MD 21401-4244 - Phone
- (410) 990-4700
- NPI assigned
- Jun 17, 2016
- Last updated
- Jun 17, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15956 | MD | Primary |
Addresses
Primary practice location
507 S Cherry Grove Ave
Suite a
Annapolis, MD 21401-4244
Mailing address
100 Deep Gap Run
Cary, NC 27519-5832
Phone (919) 608-9197
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 |
|---|---|---|---|
| 15956 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1760832083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DEEP GAP RUN",
"city": "CARY",
"state": "NC",
"postal_code": "275195832",
"telephone_number": "919-608-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S CHERRY GROVE AVE",
"address_2": "SUITE A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014244",
"telephone_number": "410-990-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERO",
"first_name": "ELBA",
"middle_name": "GRACIELA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.