IndividualActive
Jesus Vivar, DMD
NPI 1003564626 · Dentist · Wheaton, MD
Jesus Vivar, DMD is a Dentist provider in Wheaton, MD (NPI 1003564626).
Provider details
- NPI number
- 1003564626
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 18283 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11228 Georgia Ave Ste 12
Wheaton, MD 20902-4694
Phone: (301) 929-0244
Street-level locationGet directions
Mailing address
4207 Edmonston Rd
Bladensburg, MD 20710-1230
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Frequently asked questions
- What is Jesus Vivar's NPI number?
- Jesus Vivar's National Provider Identifier (NPI) is 1003564626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesus Vivar's specialty?
- Jesus Vivar is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jesus Vivar located?
- Jesus Vivar's practice location on file with NPPES is 11228 Georgia Ave Ste 12, Wheaton, MD 20902-4694.
- What is Jesus Vivar's phone number?
- The practice phone number listed in the NPPES registry for Jesus Vivar is (301) 929-0244.
- Is Jesus Vivar's NPI active?
- Yes — Jesus Vivar's NPI (1003564626) is active in the NPPES registry as of the last update on 2024-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.