Active NPI
Riverside Family Dentistry, P.C.
- General Practice Dentistry
- Oscoda, MI
National Provider Identifier
1245275676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901017272
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Oscoda, MI
- NPI 1992957534
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.