NPIMap

Organization Active NPI

Rivers Bend Family Dental PLLC

  • Dental Clinic/Center
  • Ramsey, MN
National Provider Identifier
1245849629
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RIVERS BEND FAMILY DENTAL PLLC
Practice address
14061 Saint Francis Blvd
Ramsey, MN 55303-4692
Phone
(763) 576-1855
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Lavonne Danzl
Title
Practice Manager
Phone
(763) 576-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14061 Saint Francis Blvd
Ramsey, MN 55303-4692

Mailing address

14061 Saint Francis Blvd
Ramsey, MN 55303-4692
Phone (763) 576-1855

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Ramsey Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

14061 Saint Francis Blvd
Ramsey, MN 55303
Phone (763) 576-1855

Practitioners & affiliated clinicians

Practitioners 3

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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1245849629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14061 SAINT FRANCIS BLVD",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034692",
            "telephone_number": "763-576-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14061 SAINT FRANCIS BLVD",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034692",
            "telephone_number": "763-576-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS BEND FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "DANZL",
        "authorized_official_first_name": "LAVONNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "763-576-1855"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ramsey",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14061 Saint Francis Blvd",
            "city": "Ramsey",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553034692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ramsey, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.