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RIVERO DMD, INC
NPI 1245987080
Dentist - General Practice in San Diego, CA

Active since March 02, 2022
3560 FAIRMOUNT AVE STE B, SAN DIEGO, CA 92105(619) 877-0124 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Mar 8, 2022, Mar 3, 2022 (3 updates tracked since 2022).

About Rivero Dmd, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERO DMD, INC (NPI 1245987080), doing business as The Dental Extraction Clinic, is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since March 2022. The organization lists Carlos Antonio Rivero, Director, as its authorized official.

NPPES Registry Identity

NPI1245987080
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRIVERO DMD, INC
Location Address3560 FAIRMOUNT AVE STE BSan Diego, CA 92105-3420
Mailing Address5023 August StSan Diego, CA 92110-1204 · (407) 923-7433
Phone(619) 877-0124
Organization SubpartNo
Authorized OfficialCarlos Antonio RiveroDirector · (407) 923-7433
Enumeration DateMarch 2, 2022
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1245987080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3560 FAIRMOUNT AVE STE B, San Diego, CA 92105
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Other Names 1

Doing Business AsThe Dental Extraction Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUICLINICS MEDICAL PARTNERS
Clinic/Center (Community Health)
3560 FAIRMOUNT AVE STE B
SAN DIEGO, CA 92105
San Diego County (949) 786-2004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rivero Dmd, Inc's NPI number?

The NPI number for Rivero Dmd, Inc is 1245987080. It was assigned to this organization in the NPPES registry on March 2, 2022. The provider is doing business as The Dental Extraction Clinic.

Where is Rivero Dmd, Inc located?

Rivero Dmd, Inc is located at 3560 Fairmount Ave Ste B, San Diego, CA 92105. The listed phone number is (619) 877-0124.

What is Rivero Dmd, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Rivero Dmd, Inc was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.