Organization Active NPI

River Falls Family Dental

  • Dental Clinic/Center
  • New Albany, IN
National Provider Identifier
1033620117
Registry record updated Nov 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12011079A Issued in IN
Legal business name
RIVER FALLS FAMILY DENTAL
Practice address
2676 Charlestown Rd Ste 1
New Albany, IN 47150-2574
Phone
(317) 224-8579
NPI assigned
Oct 17, 2017
Last updated
Nov 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hohete Yohannes Hendrix, DMD;MSDNPI 1053583161
Title
President/Member
Phone
(812) 945-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12011079A IN Primary

Addresses

Primary practice location

2676 Charlestown Rd Ste 1
New Albany, IN 47150-2574

Mailing address

2676 Charlestown Rd Ste 1
New Albany, IN 47150-2574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511654400000",
    "number": "1033620117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 CHARLESTOWN RD STE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 CHARLESTOWN RD STE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502574",
            "telephone_number": "317-224-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-11-26",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "HOHETE",
        "authorized_official_middle_name": "YOHANNES",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "812-945-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD;MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011079A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.