Active NPI
George Michael Riviere, DDS
- Dentist
- Le Center, MN
National Provider Identifier
1508847435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8570
- Practice address
- 34 N Park Ave
Le Center, MN 56057-1511 - Phone
- (507) 357-4833
- Fax
- (507) 357-4833
- NPI assigned
- Nov 8, 2005
- Last updated
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8570 | MN | Primary |
Addresses
Primary practice location
34 N Park Ave
Le Center, MN 56057-1511
Mailing address
34 N Park Ave
Le Center, MN 56057-1511
Phone (507) 357-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8570 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1508847435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 N PARK AVE",
"city": "LE CENTER",
"state": "MN",
"postal_code": "560571511",
"telephone_number": "507-357-4833",
"fax_number": "507-357-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 N PARK AVE",
"city": "LE CENTER",
"state": "MN",
"postal_code": "560571511",
"telephone_number": "507-357-4833",
"fax_number": "507-357-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVIERE",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "8570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Le Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.