Kristine M Riewer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11425 Issued in MN

Practice address

701 Highway 10 E
Detroit Lakes, MN 56502-0517

Phone

(218) 847-9214

Fax

(218) 847-9215

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lakeridge Dental Partners, PLLC

  • General Practice Dentistry
  • Detroit Lakes, MN
  • NPI 1255604781
  NPD (past) Authorized official
• Riewer & Steinmetz DDS PLLC

  • General Practice Dentistry
  • Detroit Lakes, MN
  • NPI 1316022387
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1316009335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565020517",
            "telephone_number": "218-847-9214",
            "fax_number": "218-847-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGHWAY 10 E",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565020517",
            "telephone_number": "218-847-9214",
            "fax_number": "218-847-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEWER",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard N Kittelson
• Jacob Ray Richter
• Mary Jane Richter
• Joanne Marie Riegert
• Riewer & Steinmetz DDS PLLC
• Abigail K Ring, MD
• Ryan Lincoln Ritchie, D.D.S
• Tracy L Roforth, OT
• Theresa O'Brien Rogstad
• Elizabete Romanovska

• General Practice Dentistry in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.

Verify at the official NPI Registry.