River Rock Oral Surgery, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D008956 Issued in AZ

Legal business name

RIVER ROCK ORAL SURGERY, LLC

Practice address

1467 Palma Rd Ste 1
Bullhead City, AZ 86442-6785

Phone

(928) 754-2198

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Charles Swigert, DDS

Title

Owner

Phone

(928) 201-7786

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.

• Joe W Abdelnour, DDS MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bullhead City, AZ
  • NPI 1013943612
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1235530379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 PALMA RD STE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426785",
            "telephone_number": "928-763-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 PALMA RD STE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426785",
            "telephone_number": "928-754-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SWIGERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-201-7786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D008956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Colorado Dental Inc
• William Riopelle
• Rising Phoenix Hospital PLLC
• River Cities Community Clinic Inc.
• River Health PC
• Riviera Surgical Center LLC
• Rivyve Behavioral Health, Inc.
• Robert B. Currivan DMD, PC
• Kitrina Roberts Cooper
• Christopher Robertson

• Dental Clinic/Center in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.