DR. REYNALDO DAVID RIVERA (MD, DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1790902989

DR. REYNALDO DAVID RIVERA (MD, DDS) is a healthcare provider. based in Holland, Michigan. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials MD, DDS. They hold a License No. 2901019099 (MI). The NPI Number for DR. REYNALDO DAVID RIVERA (MD, DDS) is 1790902989

Main info

Male
Sole Proprietor
21 Years Of Experience
Name
DR. REYNALDO DAVID RIVERA (MD, DDS)
NPI
1790902989
Phone
(616) 738-9900
Address
12350 RILEY ST
Enumeration Date
19 April 2007
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Secondary Phone
6163922329
Graduation Year
2005 (21 years ago)
PAC ID
5395992721
Group Practice PAC ID
5193731370
Professional Enrollment ID
I20120820001046
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. REYNALDO DAVID RIVERA (MD, DDS)

  • 12350 RILEY ST

    HOLLAND, MI 494249219

    Phone: (616) 738-9900

    Type: Mailing

  • 67 S GLENN DR

    CAMARILLO, CA 930107944

    Phone: (805) 738-3287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $2,123.

Total Amount is formed as General ($2,123) + Research ($0) + Ownership ($0) = $2,123.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: KLS-Martin L.P. ($1,839).

Total Amount

$2,123

General + Research + Ownership

Payments

8

Total payment records

General Amount

$2,123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49424)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193731370View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. REYNALDO DAVID RIVERA (MD, DDS)?
DR. REYNALDO DAVID RIVERA (MD, DDS) — NPI 1790902989 — is the standard way to identify this listing.
Is DR. REYNALDO DAVID RIVERA (MD, DDS) still practicing?
DR. REYNALDO DAVID RIVERA (MD, DDS) is currently listed as active in the public NPI registry.
What is DR. REYNALDO DAVID RIVERA (MD, DDS)'s specialty?
The listing groups DR. REYNALDO DAVID RIVERA (MD, DDS) with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What address line appears for DR. REYNALDO DAVID RIVERA (MD, DDS)?
DR. REYNALDO DAVID RIVERA (MD, DDS)'s geographic hint is Holland, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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