River Valley Pediatric Dental Specialists

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6936 Issued in WI

Legal business name

RIVER VALLEY PEDIATRIC DENTAL SPECIALISTS

Practice address

425 W Prairie View Rd
Chippewa Falls, WI 54729-3389

Phone

(715) 726-1060

Fax

(715) 726-1066

NPI assigned

May 22, 2014

Last updated

May 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rena J Christman, DMD

Title

DMD/Owner

Phone

(715) 726-1060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1285046383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293389",
            "telephone_number": "715-726-1060",
            "fax_number": "715-726-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W PRAIRIE VIEW RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293389",
            "telephone_number": "715-726-1060",
            "fax_number": "715-726-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PEDIATRIC DENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTMAN",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "715-726-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689923898",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ron R Ritchie
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• Mary B Rode, CSAC, ICS
• Alissa Roemhild, O.T.
• Roeschen's Healthcare LLC (Omnicare of Chippewa Falls)

• Dental Clinic/Center in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.