George Rivera, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019116 Issued in IL

Practice address

17W535 Butterfield Rd
Oakbrook Terrace, IL 60181-4010

Phone

(630) 592-4949

Fax

(877) 334-0705

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292025600000",
    "number": "1275791246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W535 BUTTERFIELD RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814010",
            "telephone_number": "630-592-4949",
            "fax_number": "877-334-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W535 BUTTERFIELD RD",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814010",
            "telephone_number": "630-592-4949",
            "fax_number": "877-334-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GEORGE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2010-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Mohsin Rehman, DO
• Justin D Resnick, PHD
• Jill M Rhodaberger-Foldes, RD, LDN
• Riaz a. Akhtar
• Gary John Ristau, LCSW
• Lila Macalinga Rivera
• Alizay Moonis Rizvi, NP
• Naz Fatima Rizvi, O.D.
• Georganna Rose, DC, ND
• Jennifer James Rose

• General Practice Dentistry in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.