Individual provider Active NPI

Diana Frances Rieber, D.D.S

  • Dentist
  • Hollywood, FL
National Provider Identifier
1104037217
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 18610 Issued in FL
Practice address
6880 Taft St
Hollywood, FL 33024-5602
Phone
(954) 987-4141
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052825 NY
Dentist 122300000X DN 18610 FL Primary

Addresses

Primary practice location

6880 Taft St
Hollywood, FL 33024-5602

Mailing address

3598 Yacht Club Dr
Apt 1202
Aventura, FL 33180-4009
Phone (917) 566-4965

Other identifiers 1

IdentifierTypeStateIssuer
02822237MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507000876 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8820317142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18610FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Garden Inc Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1104037217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3598 YACHT CLUB DR",
            "address_2": "APT 1202",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804009",
            "telephone_number": "917-566-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245602",
            "telephone_number": "954-987-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBER",
        "first_name": "DIANA",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052825",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 18610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02822237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.