Organization Active NPI

Riverdale Oral Health & Implant Center, LLC

  • Dentist
  • Bronx, NY
National Provider Identifier
1285022533
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RIVERDALE ORAL HEALTH & IMPLANT CENTER, LLC
Practice address
611 W 239TH St
Bronx, NY 10463-1211
Phone
(715) 548-3353
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Sidney Adler
Title
Partner
Phone
(718) 548-3353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

611 W 239TH St
Bronx, NY 10463-1211

Mailing address

611 West 239TH Street
Bronx, NY 10463
Phone (715) 548-3353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1285022533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WEST 239TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "715-548-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W 239TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631211",
            "telephone_number": "715-548-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE ORAL HEALTH & IMPLANT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-548-3353",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.