Active NPI
Alexandria Anne Rivera, DMD
- General Practice Dentistry
- Stamford, CT
National Provider Identifier
1912361130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- R47520196159902
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R47520196159902 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulcet Dental Smiles PC | General Practice | Past | 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.
-
- General Practice Dentistry
- Stamford, CT
- NPI 1134774847
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.