Active NPI
Matthew Rivera, DMD
- Dentist
- Kannapolis, NC
National Provider Identifier
1922538255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8929
- Practice address
- 814 Sloop Ave
Kannapolis, NC 28083-2992 - Phone
- (704) 933-2116
- Fax
- (704) 932-2195
- NPI assigned
- Jun 19, 2017
- Last updated
- Mar 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8929 | SC | |
| Dentist | 122300000X | 8929 | NC | Primary |
Addresses
Primary practice location
814 Sloop Ave
Kannapolis, NC 28083-2992
Mailing address
814 Sloop Ave
Kannapolis, NC 28083-2992
Phone (704) 933-2116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@kannapolisfamilydentistry.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8929 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley M Collins DDS PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Kannapolis, NC
- NPI 1255933149
-
- General Practice Dentistry
- Denver, NC
- NPI 1104060615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1922538255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SLOOP AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832992",
"telephone_number": "704-933-2116",
"fax_number": "704-932-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SLOOP AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832992",
"telephone_number": "704-933-2116",
"fax_number": "704-932-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8929",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8929",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@kannapolisfamilydentistry.com",
"affiliation": "N",
"address_1": "814 Sloop Ave",
"city": "Kannapolis",
"state": "NC",
"country_code": "US",
"postal_code": "280832992",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.