NPIMap

Organization Active NPI

Riewer & Steinmetz DDS PLLC

Doing business as Lakeridge Dental

  • General Practice Dentistry
  • Detroit Lakes, MN
National Provider Identifier
1316022387
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIEWER & STEINMETZ DDS PLLC
Doing business as
Lakeridge Dental
Practice address
701 Highway 10 E
Detroit Lakes, MN 56501-4219
Phone
(218) 847-9214
Fax
(218) 847-9215
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Kristine M Riewer, DDSNPI 1316009335
Title
Owner
Phone
(218) 847-9214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

701 Highway 10 E
Detroit Lakes, MN 56501-4219

Mailing address

PO Box 517
Detroit Lakes, MN 56502-0517
Phone (218) 847-9214

Other identifiers 2

IdentifierTypeStateIssuer
372149300MedicaidMN
719517600MedicaidMN

Other names 1

  • Lakeridge Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1316022387",
    "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": "565014219",
            "telephone_number": "218-847-9214",
            "fax_number": "218-847-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIEWER & STEINMETZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "RIEWER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-847-9214",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372149300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719517600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.