Individual provider Active NPI

Denise M. Riemer, DDS

  • General Practice Dentistry
  • Lemoore, CA
National Provider Identifier
1790795516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49398 Issued in CA
Practice address
446 C St
Lemoore, CA 93245
Phone
(559) 924-2520
Fax
(559) 924-1299
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 49398 CA
General Practice Dentistry 1223G0001X 49398 CA Primary

Addresses

Primary practice location

446 C St
Lemoore, CA 93245

Mailing address

446 C St
Lemoore, CA 93245
Phone (559) 924-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20151012001213 CA Order and Referring Only - DentistPractitioner - Dentist 3375767015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denise M. Riemer, DDS a Professional Corporation General Practice CurrentSince Mar 1, 2014 Accepting new patients

Locations

446 C St
Lemoore, CA 93245
Phone (559) 924-2520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790795516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 C ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "93245",
            "telephone_number": "559-924-2520",
            "fax_number": "559-924-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 C ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "93245",
            "telephone_number": "559-924-2520",
            "fax_number": "559-924-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "DENISE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "49398",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.