Riverdale Pediatric Dentistry P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11365 Issued in MN

Legal business name

RIVERDALE PEDIATRIC DENTISTRY P.A.

Practice address

3585 124TH Ave NW
Ste 400
Coon Rapids, MN 55433-1006

Phone

(763) 767-1524

Fax

(763) 767-1528

NPI assigned

Aug 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Darcy Jay Rindelaub, D.D.S.NPI 1639126683

Title

Pediatric Dentist

Phone

(763) 767-1524

Specialties & licenses 1

Addresses

Practitioners 4

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

• Darcy Jay Rindelaub, D.D.S.

  • Pediatric Dentistry
  • Coon Rapids, MN
  • NPI 1639126683
  NPD (past) Authorized official
• Laura C Kottemann, DMD

  • Dentist
  • Minneapolis, MN
  • NPI 1215127154
  NPD (past)
• Michelle L Meiser, DDS

  • Pediatric Dentistry
  • Coon Rapids, MN
  • NPI 1700816634
  NPD (past)
• Megan Marie Kinder, DDS

  • Pediatric Dentistry
  • Hudson, WI
  • NPI 1760748941
  NPD (past)

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312675200000",
    "number": "1053690198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 124TH AVE NW",
            "address_2": "STE 400",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331006",
            "telephone_number": "763-767-1524",
            "fax_number": "763-767-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 124TH AVE NW",
            "address_2": "STE 400",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331006",
            "telephone_number": "763-767-1524",
            "fax_number": "763-767-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE PEDIATRIC DENTISTRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-07",
        "status": "A",
        "authorized_official_last_name": "RINDELAUB",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "763-767-1524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D11365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Riess, PT
• Darcy Jay Rindelaub, D.D.S.
• Tyler J Ripley
• Julie Elise Risinger, DO
• Riverdale Kidds Pediatric Dentistry, PLLC
• Robert Roach, M.D.
• Jordyn Robarge, OD
• Jeff Roberg, DO
• Robert B. Henson DDS PLLC
• Zakiya Robertson

• Pediatric Dentistry in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; 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.