Individual provider Active NPI

Armando Uribe Rivera

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
National Provider Identifier
1881186559
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DF11701 Issued in MA
Practice address
635 Albany St
Boston, MA 02118-0001
Phone
(617) 358-6629
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 060542 NY
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 30.027424 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DF11701 MA Primary

Addresses

Primary practice location

635 Albany St
Boston, MA 02118-0001

Mailing address

635 Albany St
Boston, MA 02118-0001
Phone (617) 358-6629

Other practice location 1

625 Elmwood Ave # 683
Rochester, NY 14620-2913
Phone (585) 273-2465

Other practice location 2

30 E Apple St Ste L328
Dayton, OH 45409-2939
Phone (937) 640-3388

Other practice location 3

117 Linwood Ave
Buffalo, NY 14209-2003
Phone (716) 882-6333

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616002371 MA Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 6507266228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060542NYMDDentist
DF11701MAMDOral and Maxillofacial Surgery (Dentist)
30.027424OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Buffalo Oral Surgery, PLLC Oral and Maxillofacial Surgery CurrentSince Feb 1, 2020 Accepting new patients
Buffalo Oral Surgery Specialists PLLC CurrentSince Apr 6, 2023 Accepting new patients
Trustees of Boston University Oral and Maxillofacial Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

100 East Newton St
#G407
Boston, MA 02118
Phone (617) 638-4350

117 Linwood Ave
Buffalo, NY 14209
Phone (716) 882-6333

Interoperability endpoints

  • Direct secure messaging: auriberivera140651@direct.bmc.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1881186559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021180001",
            "telephone_number": "617-358-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021180001",
            "telephone_number": "617-358-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Elmwood Ave # 683",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202913",
            "country_code": "US",
            "telephone_number": "585-273-2465",
            "fax_number": "585-585-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Apple St Ste L328",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-640-3388",
            "fax_number": "937-640-3231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Linwood Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092003",
            "country_code": "US",
            "telephone_number": "716-882-6333",
            "fax_number": "716-882-0891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ARMANDO",
        "middle_name": "URIBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060542",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.027424",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DF11701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.