NPIMap

Organization Active NPI

Riverbend Family Dentistry LLC

  • Dentist
  • Gadsden, AL
National Provider Identifier
1104195346
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3057 Issued in AL
Legal business name
RIVERBEND FAMILY DENTISTRY LLC
Practice address
819 River Bend Dr Ste a
Gadsden, AL 35901-2556
Phone
(256) 547-5471
Fax
(256) 546-0564
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Dr. George Lewis Mitchell Jr., D.M.D.NPI 1669485967
Title
Dentist
Phone
(256) 547-5471

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3057 AL Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5859 C1 AL

Addresses

Primary practice location

819 River Bend Dr Ste a
Gadsden, AL 35901-2556

Mailing address

819 River Bend Dr Ste a
Gadsden, AL 35901-2556
Phone (256) 547-5471

National Provider Directory

National Provider Directory

Locations

819 Riverbend Dr
#A
Gadsden, AL 35901
Phone (256) 547-5471

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": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1104195346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 RIVER BEND DR STE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359012556",
            "telephone_number": "256-547-5471",
            "fax_number": "256-546-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 RIVER BEND DR STE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359012556",
            "telephone_number": "256-547-5471",
            "fax_number": "256-546-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-547-5471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "3057",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5859 C1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.