LUIS A RIVERA DDS
NPI 1770801458
Dentist in Oakland, CA

Active since May 05, 2010PECOS Enrolled
3451 EAST 12TH STREET, 1ST FLOOR, OAKLAND, CA 94601(510) 535-3302(510) 536-9453 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luis A Rivera Dds NPPES

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

LUIS A RIVERA DDS (NPI 1770801458) is an individual dentist in Oakland, California, licensed in California (DDS58876) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770801458
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLUIS A RIVERACredential: DDS
Location Address3451 EAST 12TH STREET, 1ST FLOOROakland, CA 94601
Mailing Address1601 Fruitvale AveOakland, CA 94601 · (510) 535-4000 · Fax (510) 535-4128
Fax(510) 536-9453
Sole ProprietorNo
Enumeration DateMay 5, 2010
Last NPPES UpdateJanuary 19, 2012
NPI 1770801458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · DDS58876
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3451 EAST 12TH STREET, Oakland, CA 94601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luis A Rivera Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Family Medicine
3451 EAST 12TH STREET, 2ND FLOOR
OAKLAND, CA 94601
Dentist (General Practice)
3451 EAST 12TH STREET
OAKLAND, CA 94601
Nurse Practitioner
3451 EAST 12TH STREET
OAKLAND, CA 94601

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 Luis Rivera's NPI number?

The NPI number for Luis Rivera is 1770801458. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Luis Rivera located?

Luis Rivera practices at 3451 East 12th Street 1st Floor, Oakland, CA 94601. The listed phone number is (510) 535-3302.

What is Luis Rivera's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Luis Rivera enrolled in Medicare?

Yes. Luis Rivera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Rivera was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.