Kelli Marie Rike

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23483 Issued in FL

Practice address

1323 N Central Ave
Sebastian, FL 32958-1607

Phone

(772) 469-6909

NPI assigned

Apr 14, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Professional Dental Alliance of Minton, PLLC

  • General Practice Dentistry
  • Palm Bay, FL
  • NPI 1528547353
  NPD (past)

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1770070815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 N CENTRAL AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581607",
            "telephone_number": "772-469-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N CENTRAL AVE",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581607",
            "telephone_number": "772-469-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5132 Minton Rd NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329071110",
            "country_code": "US",
            "telephone_number": "321-725-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIKE",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2023-06-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Rodriguez
• Raquel Rodriguez MD PA
• Harold Friedrich Reichert III, DC
• RHG of Florida PA
• Sheila Richard, CST, CSFA
• Jose David Rivera-Jimenez, MD
• Mary Elizabeth Rivero
• Rivers Edge DPC Inc
• Riverside Dental
• Riverside Dental Arts PLLC

• General Practice Dentistry in Sebastian, FL
• Providers in Sebastian, 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 Jun 27, 2023; 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.