Robert W.Rives, D.D.S., P.a.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1807-78 Issued in MS

Legal business name

ROBERT W.RIVES, D.D.S., P.A.

Practice address

1445 Lelia Dr
Jackson, MS 39216-4721

Phone

(601) 366-7396

Fax

(610) 366-7549

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Wayne Rives, D.D.S.

Title

Owner

Phone

(601) 366-7396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952484701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 LELIA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164721",
            "telephone_number": "601-366-7396",
            "fax_number": "610-366-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 LELIA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164721",
            "telephone_number": "601-366-7396",
            "fax_number": "610-366-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W.RIVES, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-366-7396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MS",
            "license": "1807-78",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Roberson III, LPC, LPC-S
• Stacie Wendel Roberson, SLP
• Robert B Lee MD PLLC
• Robert Greer DO, LLC
• Robert Marshall Tharp, Jr, OD, Inc
• Kenda Roberts-Graham, LCSW
• Alonzo Roberts
• Bruce E Roberts, M.D.
• Christine Haynes Roberts, BSN, RN, MSN, NP-C
• Evelyn Roberts, CNP

• Periodontics in Jackson, MS
• Providers in Jackson, MS by specialty
• Periodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.