Marilyn Rivero

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18251 Issued in MA

Practice address

235 Walnut St
Framingham, MA 01702-7592

Phone

(508) 872-4848

Fax

(508) 872-4849

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marilyn Koutrakis Other name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831306513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WALNUT ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027592",
            "telephone_number": "508-872-4848",
            "fax_number": "508-872-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WALNUT ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027592",
            "telephone_number": "508-872-4848",
            "fax_number": "508-872-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "MARILYN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "KOUTRAKIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gloria Ivette Rivera, LMSW
• Jonthany A Rivera
• Lawrence Rivera III, M.S
• Natasha Rivera
• Vivian Rivera, LICSW
• Riverside Community Care
• Emma Rizzo
• Jenae Nicole Roache, MA, BCBA, LABA
• Rob Mason Psychological Counseling PLLC
• Adam Robbins, DMD

• General Practice Dentistry in Framingham, MA
• Providers in Framingham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.