DR. JACLYN F RIVERA (NPI# 1871930727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871930727 |
| Entity Type | Individual |
| Full Name | DR. JACLYN F RIVERA |
| Credential | D.M.D |
| Practice Address |
13246 N Dale Mabry Hwy Tampa FL 33618-2408 |
| Practice Telephone | 8139266776 |
| Mailing Telephone | 8139266776 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN21806 | FL | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295034791 | Jaclyn Rivera | Licensed Practical Nurse | 115 Overlook Dr, Farmingville, NY 11738-3108 | 2011-03-23 |
| Street Address |
13246 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053711036 | Endodontic Associates of Tampa Pa | Dentist | 11940 Sheldon Rd, Tampa, FL 33626-3643 | 2014-08-27 |
| 1811301625 | Kevin Kuo | Dentist | 8635 W Hillsborough Ave # 148, Tampa, FL 33615-3810 | 2014-06-19 |
| 1811251481 | Matthew Kruszewski | Dentist | 3401 W Fletcher Ave Ste B, Tampa, FL 33618-2813 | 2012-06-28 |
| 1114112935 | Mikhail M Gankin | Dentist | 808 N Franklin St, #2801, Tampa, FL 33602-3859 | 2007-09-14 |
| 1952511511 | Paul Zaritsky | Dentist | 3670 Henderson Blvd Ste B, Tampa, FL 33609-4515 | 2007-05-23 |
| 1700911021 | Terryl Ann Petropoulos | Dentist | 825 Martin Luther King Blvd, Tampa, FL 33603 | 2007-02-23 |
| 1730225301 | Kevin Bryan Melker | Dentist | 15237 Amberly Dr, Tampa, FL 33647-2155 | 2007-01-30 |
| 1750462875 | Steven Trevor Shwer | Dentist | 3401 West Fletcher Avenue, Suite B, Tampa, FL 33618 | 2006-10-17 |
| 1649368309 | Christian Kamaris | Dentist | 4031 W Kennedy Blvd, Tampa, FL 33609-2751 | 2006-10-10 |
| 1689760860 | Jacqueline A. Dietz | Dentist | 2929 W Coachman Ave, Tampa, FL 33611-2809 | 2006-10-05 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.