J Benjamin Rivers DMD PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2075 Issued in TN

Legal business name

J BENJAMIN RIVERS DMD PC

Practice address

6906 Kingston Pike
Suite 205
Knoxville, TN 37919-5704

Phone

(865) 588-3850

Fax

(865) 588-3840

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

James Benjamin Rivers Sr., DMDNPI 1861666349

Title

President

Phone

(865) 588-3850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Benjamin Rivers Sr., DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Knoxville, TN
  • NPI 1861666349
  Authorized official Same address or phone

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1831173392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 KINGSTON PIKE",
            "address_2": "SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195704",
            "telephone_number": "865-588-3850",
            "fax_number": "865-588-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 KINGSTON PIKE",
            "address_2": "SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195704",
            "telephone_number": "865-588-3850",
            "fax_number": "865-588-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BENJAMIN RIVERS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-588-3850",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3215768",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conrad Blake Ivie, MD
• Yvonne P Ivory
• Carney Stevens Ivy, APN
• Jocelyn Ivy, LPC-MHSP
• Michael Ray Ivy
• J. C. Dow, Inc. (Tennessee Hearing Instruments, Inc.)
• J. Caroline Haney-Weaver, M.D.
• J. Gregory Roberts MD RVT (Mantle Clinic III)
• J. Gregory Roberts, MD, RVT, PC Dba Mantle Clinic III
• J. Sidney Alexander, M.D., P.C.

• Oral & Maxillofacial Surgery (D.M.D.) in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.