John Rieke, DDS
Dentist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1154373595
StatusActive
Last updated in NPPESJul 30, 2007
Details
- NPI
- 1154373595
- Entity type
- Individual (NPI-1)
- Name
- John Rieke
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2006
- Last updated
- Jul 30, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D11208 | MN | Yes |
Practice location
701 Park AveP7
Minneapolis, MN 55415-1623
Phone 612-873-2370
Mailing address
701 Park AveMinneapolis, MN 55415-1623
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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