Organization Active NPI

River Rock Family Dental, PA

  • General Practice Dentistry
  • Lawrence, KS
National Provider Identifier
1215137658
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVER ROCK FAMILY DENTAL, PA
Practice address
1100 E 23Rd St
Lawrence, KS 66046-5004
Phone
(785) 424-4655
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Richard R Valbuena, DDSNPI 1437259082
Title
Dentist/Ceo
Phone
(785) 424-4655

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

1100 E 23Rd St
Lawrence, KS 66046-5004

Mailing address

1100 E 23Rd St
Lawrence, KS 66046-5004
Phone (785) 424-4655

National Provider Directory

National Provider Directory

Locations

1100 E 23rd St
Lawrence, KS 66046
Phone (785) 424-4655

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1215137658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465004",
            "telephone_number": "785-424-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465004",
            "telephone_number": "785-424-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "VALBUENA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "785-424-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.