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CARLOS ANTONIO RIVERO D.M.D.
NPI 1942502596
Dentist in San Diego, CA

Active since December 01, 2010PECOS Enrolled
5625 RUFFIN RD STE 200, SAN DIEGO, CA 92123(858) 569-9651 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2022, Oct 24, 2019 (2 updates tracked since 2019).

About Carlos Antonio Rivero D.m.d. NPPES

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

CARLOS ANTONIO RIVERO D.M.D. (NPI 1942502596) is an individual dentist in San Diego, California, licensed in California (104466) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942502596
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCARLOS ANTONIO RIVEROCredential: D.M.D.
Location Address5625 RUFFIN RD STE 200San Diego, CA 92123-6392
Mailing Address5023 August StSan Diego, CA 92110-1204 · (407) 923-7433
Phone(858) 569-9651
Sole ProprietorYes
Enumeration DateDecember 1, 2010
Last NPPES UpdateMarch 14, 20222 updates tracked since enumeration
NPPES CertifiedMarch 14, 2022
✔ NPI 1942502596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 104466✔ Licensed in FL · DN19106
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.
5625 RUFFIN RD STE 200, San Diego, CA 92123
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Other Identifiers 1

Medicaid003965000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Antonio Rivero D.m.d. 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 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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

I ZAK DDS PROF DENTAL CORP
Dentist
5625 RUFFIN RD STE 200
SAN DIEGO, CA 92123
San Diego County (858) 569-9651

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 Carlos Rivero's NPI number?

The NPI number for Carlos Rivero is 1942502596. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Carlos Rivero located?

Carlos Rivero practices at 5625 Ruffin Rd Ste 200, San Diego, CA 92123. The listed phone number is (858) 569-9651.

What is Carlos Rivero's specialty?

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

Is Carlos Rivero enrolled in Medicare?

Yes. Carlos Rivero is registered in the Medicare PECOS enrollment system.

What insurance does Carlos Rivero accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Carlos Rivero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Rivero was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.