River City Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

RIVER CITY ENDODONTICS

Practice address

113 Church St
O Fallon, MO 63366-2894

Phone

(636) 362-4040

Fax

(636) 362-4141

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matthew James Walker, D.D.S., M.S.DNPI 1730499187

Title

Owner

Phone

(636) 362-4040

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew James Walker, D.D.S.

  • Dentist
  • Fort Leonard Wood, MO
  • NPI 1730499187
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1043899677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHURCH ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662894",
            "telephone_number": "636-362-4040",
            "fax_number": "636-362-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHURCH ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662894",
            "telephone_number": "636-362-4040",
            "fax_number": "636-362-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-362-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Riley, M.A.
• Isabella Rossi Riordan, MD
• Kimberly Wert Ripley
• Jennifer N Rispoli, DPT
• Roy D Ritchey, DC
• Riverheart Family Dentistry
• Ashley Kay Robel, D.C.
• Shannon Roberson, LPC
• Roberta'S Home Health Services LLC
• Kaiden Conner Robinson, D.C.

• Endodontics in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Endodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.