NPIMap

Organization Active NPI

River Oaks Family Dental PLLC

Doing business as River Oaks Family Dental

  • Dental Clinic/Center
  • River Oaks, TX
National Provider Identifier
1104246438
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19032 Issued in TX
Legal business name
RIVER OAKS FAMILY DENTAL PLLC
Doing business as
River Oaks Family Dental
Practice address
901 Roberts Cutoff Rd
River Oaks, TX 76114-2825
Phone
(817) 738-4141
NPI assigned
Apr 25, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. Christopher Elliot Edmondson, D.D.S.
Title
Owner
Phone
(817) 738-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19032 TX Primary

Addresses

Primary practice location

901 Roberts Cutoff Rd
River Oaks, TX 76114-2825

Mailing address

901 Roberts Cutoff Rd
River Oaks, TX 76114-2825
Phone (817) 738-4141

Other names 1

  • River Oaks Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1104246438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ROBERTS CUTOFF RD",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761142825",
            "telephone_number": "817-738-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROBERTS CUTOFF RD",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761142825",
            "telephone_number": "817-738-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-738-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Oaks Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Oaks, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.