Individual provider Active NPI

Leah M Larkin Rivera, DDS

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1922254960
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01902787 Issued in IL
Practice address
8800 Lockwood Ave
Skokie, IL 60077-1500
Phone
(773) 761-0300
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08573 IA
General Practice Dentistry 1223G0001X 01902787 IL Primary

Addresses

Primary practice location

8800 Lockwood Ave
Skokie, IL 60077-1500

Mailing address

6301 N Western Ave
Chicago, IL 60659-2009
Phone (773) 761-0300

Other identifiers 2

IdentifierTypeStateIssuer
1932193224MedicaidIA
00800200MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20200109002839 IL Order and Referring Only - DentistPractitioner - Dentist 8628403128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08573IAMDGeneral Practice Dentistry
01902787ILMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: leah.larkin.1@18313.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1922254960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592009",
            "telephone_number": "773-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 LOCKWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771500",
            "telephone_number": "773-761-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN RIVERA",
        "first_name": "LEAH",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08573",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01902787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932193224",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00800200",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.