Organization Active NPI

Rivka Goldenhersh, D.M.D., LLC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1194295964
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVKA GOLDENHERSH, D.M.D., LLC
Practice address
620A N McKnight Rd Ste 2a
Saint Louis, MO 63132
Phone
(314) 432-5988
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Rivka Goldenhersh, DMDNPI 1932405792
Title
Owner
Phone
(314) 918-5921

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

620A N McKnight Rd Ste 2a
Saint Louis, MO 63132

Mailing address

620A N McKnight Rd Ste 2a
Saint Louis, MO 63132-4911
Phone (314) 432-5988

Other practice location 1

819 University Pl
Saint Louis, MO 63132-5021
Phone (314) 918-5921

Other practice location 2

819 University Pl
Saint Louis, MO 63132-5021
Phone (314) 918-5921

Other names 1

  • Delmar Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

620 N McKnight Rd
Ste 2A
Saint Louis, MO 63132
Phone (314) 432-5988

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1194295964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620A N MCKNIGHT RD STE 2A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631324911",
            "telephone_number": "314-432-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620A N MCKNIGHT RD STE 2A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-432-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 University Pl",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631325021",
            "country_code": "US",
            "telephone_number": "314-918-5921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 University Pl",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631325021",
            "country_code": "US",
            "telephone_number": "314-918-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVKA GOLDENHERSH, D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "GOLDENHERSH",
        "authorized_official_first_name": "RIVKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-918-5921",
        "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": [
        {
            "organization_name": "Delmar Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delmar Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.