DR. DONNIE RIVERA DDS
NPI 1093028904
Dentist in Milwaukee, WI

Active since July 20, 2010Opted out of Medicare · through Sep 17, 2027
3220 W VLIET ST, MILWAUKEE, WI 53208(414) 231-4057(414) 231-4013 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donnie Rivera Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONNIE RIVERA DDS (NPI 1093028904) is an individual dentist in Milwaukee, Wisconsin, licensed in Illinois (019028351) and active in the NPI registry since July 2010. He has opted out of Medicare through September 17, 2027.

NPPES Registry Identity

NPI1093028904
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DONNIE RIVERACredential: DDS
Location Address3220 W VLIET STMilwaukee, WI 53208-2453
Mailing Address3220 W Vliet StMilwaukee, WI 53208-2453 · (414) 231-4057 · Fax (414) 231-4013
Fax(414) 231-4013
Sole ProprietorNo
Enumeration DateJuly 20, 2010
Last NPPES UpdateSeptember 26, 2013
NPI 1093028904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019028351
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3220 W VLIET ST, Milwaukee, WI 53208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Donnie Rivera Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 17, 2015 through September 17, 2027.

Opt-Out Effective DateSeptember 17, 2015
Opt-Out In Effect ThroughSeptember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
3220 W VLIET ST
MILWAUKEE, WI 53208
Licensed Practical Nurse
3220 W VLIET ST
MILWAUKEE, WI 53208
Nurse Practitioner (Family)
3220 W VLIET ST
MILWAUKEE, WI 53208
Licensed Practical Nurse
3220 W VLIET ST
MILWAUKEE, WI 53208
Social Worker
3220 W VLIET ST
MILWAUKEE, WI 53208
Nurse Practitioner (Gerontology)
3220 W VLIET ST
MILWAUKEE, WI 53208
Nurse Practitioner
3220 W VLIET ST
MILWAUKEE, WI 53208
Family Medicine
3220 W VLIET ST
MILWAUKEE, WI 53208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donnie Rivera's NPI number?

The NPI number for Donnie Rivera is 1093028904. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Donnie Rivera located?

Donnie Rivera practices at 3220 W Vliet St, Milwaukee, WI 53208. The listed phone number is (414) 231-4057.

What is Donnie Rivera's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Donnie Rivera enrolled in Medicare?

No. Donnie Rivera has opted out of Medicare through September 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Donnie Rivera accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Florida Combined Life and 3 other insurers list Donnie Rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donnie Rivera was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.