Individual provider Active NPI

Alexandria Anne Rivera, DMD

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1912361130
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
R47520196159902 Issued in NJ
Practice address
579 Newfield Ave
Stamford, CT 06905
Phone
(203) 890-9300
Fax
(203) 890-9250
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X R47520196159902 NJ Primary

Addresses

Primary practice location

579 Newfield Ave
Stamford, CT 06905

Mailing address

202 Van Ripper Ave Apt 1E
Sleepy Hollow, NY 10591-1923
Phone (914) 513-1947

Other practice location 1

1400 Pelham Pkwy S
Building 1, Room 3NE-1
Bronx, NY 10461-1138
Phone (718) 918-3419

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
R47520196159902NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dulcet Dental Smiles PC General Practice PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 1

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1912361130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 VAN RIPPER AVE APT 1E",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911923",
            "telephone_number": "914-513-1947",
            "fax_number": "914-423-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-890-9300",
            "fax_number": "203-890-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_2": "Building 1, Room 3NE-1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "718-918-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ALEXANDRIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "R47520196159902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.