ROBERT W.RIVES, D.D.S., P.A. (NPI# 1952484701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952484701 |
| Entity Type | Organization |
| Organization Name | ROBERT W.RIVES, D.D.S., P.A. |
| Practice Address |
1445 Lelia Dr Jackson MS 39216-4721 |
| Practice Telephone | 6013667396 |
| Practice Fax Number | 6103667549 |
| Mailing Telephone | 6013667396 |
| Mailing Fax Number | 6103667549 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT WAYNE RIVES (OWNER) |
| Authorized Official Telephone | 6013667396 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1807-78 | MS | Dental Providers |
| Street Address |
1445 LELIA DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952457137 | Charles Robert Hamm | Dentist | 1445 Lelia Dr, Jackson, MS 39216-4721 | 2007-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790069854 | Periodontal Associates of Jackson, P.a. | Dentist | 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 | 2011-10-06 |
| 1417166703 | R. Clarke Stewart | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
| 1235262296 | Salah Al Huwais | Dentist | 721 17th St, Jackson, MI 49203-1409 | 2007-03-13 |
| 1760537344 | William Edward Frey | Dentist | 100 French Bar Rd Ste 103, Jackson, CA 95642-2557 | 2007-01-24 |
| 1497769376 | William Lance Culley | Dentist | 166a Murray Guard Dr, Jackson, TN 38305-3609 | 2006-07-28 |
| 1972859304 | Jamie Reed Clay | Dentist | 2500 N State St, School of Health Related Professions- Dental Hygiene, Jackson, MS 39216-4500 | 2012-08-03 |
| 1992958755 | Ask, Kinzer, Simpson, and Roda A Professional Dental Corp | Dentist | 100 French Bar Rd, Suite 103, Jackson, CA 95642-2557 | 2008-10-24 |
| 1316110984 | Padbury and Padbury, D.d.s, M.s., P.C. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2008-04-03 |
| 1598974867 | Roger B. Parkes | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
| 1194930503 | Allan Dale Padbury Jr. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2007-05-11 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.