Rivelco Enterprises, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 15069 Issued in FL

Legal business name

RIVELCO ENTERPRISES, INC.

Doing business as

Lakeview Dental Care

Practice address

814 Spring Lake SQ
Winter Haven, FL 33881-1338

Phone

(863) 297-5200

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Niki Gurminder Suri, B.D.S., D.D.S.

Title

President

Phone

(863) 297-5200

Specialties & licenses 1

Addresses

Other names 1

• Lakeview Dental Care Doing business as

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598982407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811338",
            "telephone_number": "863-297-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SPRING LAKE SQ",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811338",
            "telephone_number": "863-297-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVELCO ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "NIKI",
        "authorized_official_middle_name": "GURMINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-297-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S., D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Sophia Riley
• Kayla Riley
• Cynthia Ripperger-Soruco
• Rise Up & Walk Therapy
• Meigan Ritter
• Jose Alfredo Rivera Martinez, APRN
• Maria Belen Rivera-Bonilla, MD
• Ashley Rivera
• Estrevina Rivera
• Eva Rivera

• General Practice Dentistry in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.