Organization Active NPI

Riverside Family Dentistry, P.C.

  • General Practice Dentistry
  • Oscoda, MI
National Provider Identifier
1245275676
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017272 Issued in MI
Legal business name
RIVERSIDE FAMILY DENTISTRY, P.C.
Practice address
4460 F 41
Oscoda, MI 48750-9603
Phone
(989) 739-5255
Fax
(989) 739-1662
NPI assigned
Jun 19, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Tara Elann Swanton, D.D.S.NPI 1992957534
Title
Ceo Dentist Owner
Phone
(989) 739-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901017272 MI Primary

Addresses

Primary practice location

4460 F 41
Oscoda, MI 48750-9603

Mailing address

4460 F 41
Oscoda, MI 48750-9603
Phone (989) 739-5255

National Provider Directory

National Provider Directory

Locations

4460 F 41
Oscoda, MI 48750
Phone (989) 739-5255

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1245275676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 F 41",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509603",
            "telephone_number": "989-739-5255",
            "fax_number": "989-739-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 F 41",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509603",
            "telephone_number": "989-739-5255",
            "fax_number": "989-739-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SWANTON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ELANN",
        "authorized_official_title_or_position": "CEO DENTIST OWNER",
        "authorized_official_telephone_number": "989-739-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oscoda, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.