Organization Active NPI

Riverbend Endodontics

  • Dental Clinic/Center
  • Bettendorf, IA
National Provider Identifier
1043761398
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
09335 Issued in IA
Legal business name
RIVERBEND ENDODONTICS
Practice address
2550 Middle Rd
Ste 101
Bettendorf, IA 52722-7905
Phone
(563) 209-9041
Fax
(563) 209-9042
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Duane Van Nieuwenhuyzen, DDS, MSNPI 1437308178
Title
Doctor/Endodontist
Phone
(563) 209-9041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 09335 IA Primary

Addresses

Primary practice location

2550 Middle Rd
Ste 101
Bettendorf, IA 52722-7905

Mailing address

2550 Middle Rd
Ste 101
Bettendorf, IA 52722-7905
Phone (563) 209-9041

National Provider Directory

National Provider Directory

Locations

2550 Middle Rd
Ste 101
Bettendorf, IA 52722
Phone (563) 209-9041

Practitioners & affiliated clinicians

Practitioners 3

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": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1043761398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD",
            "address_2": "STE 101",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227905",
            "telephone_number": "563-209-9041",
            "fax_number": "563-209-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD",
            "address_2": "STE 101",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227905",
            "telephone_number": "563-209-9041",
            "fax_number": "563-209-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "VAN NIEUWENHUYZEN",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "DOCTOR/ENDODONTIST",
        "authorized_official_telephone_number": "563-209-9041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "09335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.