TIM RIEKE DDS LLC
NPI 1295917110
Dentist - General Practice in Jefferson City, MO

Active since December 03, 2007
1312 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109(573) 634-3115(573) 634-2381 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tim Rieke Dds Llc NPPES

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

TIM RIEKE DDS LLC (NPI 1295917110) is a healthcare organization registered as a general practice in Jefferson City, Missouri and active in the NPI registry since December 2007. The organization lists Tim J Rieke, Member, as its authorized official.

NPPES Registry Identity

NPI1295917110
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIM RIEKE DDS LLC
Location Address1312 SOUTHWEST BLVDJefferson City, MO 65109
Mailing Address1312 Southwest BlvdJefferson City, MO 65109 · (573) 634-3115 · Fax (573) 634-2381
Fax(573) 634-2381
Organization SubpartYes
Authorized OfficialTim J RiekeMember · (573) 634-3115
Enumeration DateDecember 3, 2007
NPI 1295917110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 013681
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1312 SOUTHWEST BLVD, Jefferson City, MO 65109

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist
1312 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Dentist (Orthodontics and Dentofacial Orthopedics)
1312 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109

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 Tim Rieke Dds LLC's NPI number?

The NPI number for Tim Rieke Dds LLC is 1295917110. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Tim Rieke Dds LLC located?

Tim Rieke Dds LLC is located at 1312 Southwest Blvd, Jefferson City, MO 65109. The listed phone number is (573) 634-3115.

What is Tim Rieke Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tim Rieke Dds LLC was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.