NPIMap

Organization Active NPI

Riverside Dental P.C.

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1245419308
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5225 Issued in AZ
Legal business name
RIVERSIDE DENTAL P.C.
Practice address
1640 E River Rd Ste 112
Tucson, AZ 85718-7645
Phone
(520) 299-4470
Fax
(520) 299-4475
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Miss Elizabeth La Madrid Ramirez
Title
Office Administrator
Phone
(520) 299-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5225 AZ Primary

Addresses

Primary practice location

1640 E River Rd Ste 112
Tucson, AZ 85718-7645

Mailing address

1640 E River Rd Ste 112
Tucson, AZ 85718-7645
Phone (520) 299-4470

National Provider Directory

National Provider Directory

Locations

1640 E River Rd
Ste 112
Tucson, AZ 85718
Phone (520) 299-4470

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1245419308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E RIVER RD STE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187645",
            "telephone_number": "520-299-4470",
            "fax_number": "520-299-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E RIVER RD STE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187645",
            "telephone_number": "520-299-4470",
            "fax_number": "520-299-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LA MADRID",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "520-299-4470",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.