Madeleine Park

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00206073 Issued in CO

Practice address

3960 River Point Pkwy Unit a
Sheridan, CO 80110-3315

Phone

(303) 781-2340

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Point Dental Group, LLP

  dba River Point Dental Group and Orthodontics

  • General Practice Dentistry
  • Sheridan, CO
  • NPI 1720242902
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1104526193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 CRESCENT COMMON DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 RIVER POINT PKWY UNIT A",
            "city": "SHERIDAN",
            "state": "CO",
            "postal_code": "801103315",
            "telephone_number": "303-781-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00206073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Murphy, DDS
• Caitlyn Murray, DDS
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Hang Nguyen
• Lilian Nguyen, PHARM D
• Zachary Towne Principe, PHARMD
• William E Richheimer, M.D.
• Elizabeth Riggs
• River Point Dental Group, LLP (River Point Dental Group and Orthodontics)
• River Point Surgery Center, LLC

• Dentist in Sheridan, CO
• Providers in Sheridan, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.