Riverpark Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIVERPARK DENTAL LLC

Practice address

600 E Riverpark LN Ste 120
Boise, ID 83706-6509

Phone

(208) 344-5024

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Coleman Mower, DMD

Title

DMD

Phone

(208) 994-9548

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.

• William A Larkin, DDS

  • Dentist
  • Boise, ID
  • NPI 1003928268
  NPD (past)

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1144065673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E RIVERPARK LN STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066509",
            "telephone_number": "208-344-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPARK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "MOWER",
        "authorized_official_first_name": "COLEMAN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "208-994-9548",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Falls Hospice Inc
• River Falls Pharmacy PC
• River Run Surgery Center, Inc.
• Daniel Rivera, DO
• Fernando A Riveron, MD
• Riverside Counseling LLC
• Riverside Primary Care Adult and Geriatric Medicine Plllp
• Riverside Rehab
• Riverside Rehab Inc
• Riverside Rehab, Inc

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.