Individual provider Active NPI

Viviana Marcela Torres Rizo, DDS

  • Dentist
  • Wantagh, NY
National Provider Identifier
1881342582
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
063177 Issued in NY
Practice address
3402 Park Ave
Wantagh, NY 11793-3702
Phone
(516) 804-5955
NPI assigned
Mar 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 063177 NY Primary

Addresses

Primary practice location

3402 Park Ave
Wantagh, NY 11793-3702

Mailing address

4306 45TH St Apt 4B
Sunnyside, NY 11104-2324
Phone (347) 679-5367

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

LicenseStateTypeSpecialty
063177NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1881342582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 45TH ST APT 4B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042324",
            "telephone_number": "347-679-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933702",
            "telephone_number": "516-804-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RIZO",
        "first_name": "VIVIANA",
        "middle_name": "MARCELA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.