Active NPI
Daniel Rivera, M.D.
- Pain Medicine (Anesthesiology) Physician
- Kennett, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2026013335
- Practice address
- 304 Teaco Rd
Kennett, MO 63857-3266 - Phone
- (316) 775-8404
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 39937 | OK | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2026013335 | MO | Primary |
Addresses
Primary practice location
304 Teaco Rd
Kennett, MO 63857-3266
Mailing address
304 Teaco Rd
Kennett, MO 63857-3266
Phone (316) 775-8404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026013335 | MO | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Oklahoma Anesthesia Consultants PLLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Oklahoma, PLLC | Anesthesiology | Current | Accepting new patients |
| Westport Anesthesia Services of Missouri, PC | Anesthesiology | Past | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
-
- Clinic/Center
- Malden, MO
- NPI 1003407883
-
- Anesthesiology Physician
- Kansas City, MO
- NPI 1912959032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1154465326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 TEACO RD",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573266",
"telephone_number": "316-775-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 TEACO RD",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573266",
"telephone_number": "316-775-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "39937",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "2026013335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.