Christopher Michael Rivers, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D13730 Issued in MN

Practice address

1835 County Road C W Ste 200
Roseville, MN 55113-1353

Phone

(651) 760-3703

NPI assigned

Feb 16, 2015

Last updated

Nov 1, 2020By the provider in NPPES

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1447641295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131353",
            "telephone_number": "651-760-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131353",
            "telephone_number": "651-760-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-16",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D13730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Rink I
• Matthew Adam Rischall, MD
• Gail L Risse, PHD
• Robert Mills Ritchie Jr., LADC
• Heather Ritger
• Allison Burns Rixey, MD
• Robert E. Johnson, Inc. (Robert E. Johnson, Licensed Psychologist)
• Robinson Chiropractic, P.a (Brent JC Robinson, D.C.)
• Brent James Charles Robinson, D.C
• Denaya Lou-Jean Rockstad, LPCC

• Oral and Maxillofacial Surgery (Dentist) in Roseville, MN
• Providers in Roseville, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.