Active NPI
Kevin R. Riker, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Charleston, SC
National Provider Identifier
1447239330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3284 0440 OS
- Practice address
- 1112 Savannah Hwy
Charleston, SC 29407-7806 - Phone
- (843) 402-0400
- Fax
- (843) 402-0550
- NPI assigned
- Jan 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3284 0440 OS | SC | Primary |
Addresses
Primary practice location
1112 Savannah Hwy
Charleston, SC 29407-7806
Mailing address
1112 Savannah Hwy
Charleston, SC 29407-7806
Phone (843) 402-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z32843 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 15, 2012 through Sep 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3284 0440 OS | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 3284 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447239330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077806",
"telephone_number": "843-402-0400",
"fax_number": "843-402-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077806",
"telephone_number": "843-402-0400",
"fax_number": "843-402-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIKER",
"first_name": "KEVIN",
"middle_name": "R.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "SC",
"license": "3284 0440 OS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z32843",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.