Scenic River Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SCENIC RIVER DENTAL LLC

Practice address

117 N Washington St
Saint Croix Falls, WI 54024-2200

Phone

(715) 483-3570

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Joe Lindberg, DMD

Title

Owner

Phone

(715) 483-3570

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven L McCormack, DDS

  • Dentist
  • St. Croix Falls, WI
  • NPI 1407963051
  NPD (past)

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1295298685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540242200",
            "telephone_number": "715-483-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540242200",
            "telephone_number": "715-483-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC RIVER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-483-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023529021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Valley Pharmacy Inc
• River Valley Renewal Counseling and Wellness Center
• Kelly L Rombach, COTA
• Janine Elaine Rose, MD
• Joseph L Ruegemer, MD
• Kelly L Schmidt, CNM, FNP
• School District of St. Croix Falls
• Gretchen Anne Schoonover, PTA
• William G. Schultz Jr., M.D.
• Ann R Seagren, M.D.

• Dentist in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.