Igor Ristevski, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011692A Issued in IN

Practice address

233 E. 84TH Drive
Suite 106
Merrillville, IN 46410-6465

Phone

(219) 736-2309

Fax

(219) 736-2328

NPI assigned

Aug 9, 2011

Sex

Male

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 IN

Eligible to order & refer

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

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.

• Beck Dental Center, P.C.

  • Dental Clinic/Center
  • Merrillville, IN
  • NPI 1588388003
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1548549439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E. 84TH DRIVE",
            "address_2": "SUITE 106",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106465",
            "telephone_number": "219-736-2309",
            "fax_number": "219-736-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E. 84TH DRIVE",
            "address_2": "SUITE 106",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106465",
            "telephone_number": "219-736-2309",
            "fax_number": "219-736-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTEVSKI",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011692A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kearya Ring
• Maria Teresa Rios, BA
• Tabitha Rios, RBT
• Yulissa Ruby Rios
• Beth A Risner, OT
• Rebecca Michelle Ritter, MD
• Kayla Rivera
• Leyani Elise Rivera, RBT
• Tysha L Rivich
• Samantha Roadruck

• General Practice Dentistry in Merrillville, IN
• Providers in Merrillville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.