Riverview Smiles Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RIVERVIEW SMILES DENTISTRY, PA

Doing business as

Riverview Modern Dentistry

Practice address

11345 S. US Highway 301
Suite 104
Riverview, FL 33578

Phone

(813) 367-9496

Fax

(813) 367-9973

NPI assigned

Feb 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Minh Pham

Title

Owner

Phone

(813) 367-9496

Specialties & licenses 1

Addresses

Other names 1

• Riverview Modern Dentistry Doing business as

Locations

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.

• Tiffany Bui, DMD

  • Dentist
  • Riverview, FL
  • NPI 1598593329
  NPD
• Kristina Hanhan

  • Dentist
  • Riverview, FL
  • NPI 1235023367
  NPD
• Jonathan Gomogda

  • General Practice Dentistry
  • Riverview, FL
  • NPI 1821832270
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1205533064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 S. US HIGHWAY 301",
            "address_2": "SUITE 104",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-367-9496",
            "fax_number": "813-367-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW SMILES DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-367-9496"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverview Medical Supplies, LLC
• Riverview Medical, Inc
• Riverview Optical Inc.
• Riverview Pediatrics and Family Practice, Inc.
• Riverview Primary Care Associates
• Riverview Wellness LLC
• Gianni Marie Rizo
• Crystal Rizzo
• D'Najh L Rizzo, BEHAVIOR TECHNICIAN
• Jennifer Lauren Rizzo, MD

• Dentist in Riverview, FL
• Providers in Riverview, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.