Riverside Dental Associates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIVERSIDE DENTAL ASSOCIATES, LLC

Practice address

1521 Doctors CT
Watertown, WI 53094-4101

Phone

(920) 262-2176

Fax

(920) 262-2131

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 2021By 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

David Cullings Meade, DDSNPI 1851461131

Title

Owner/Dentist

Phone

(920) 262-2176

Specialties & licenses 1

Addresses

Locations

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.

• David C Meade, DDS

  • Dentist
  • Watertown, WI
  • NPI 1851461131
  NPD Authorized official
• David J Groh, DDS

  • Dentist
  • Watertown, WI
  • NPI 1598851800
  NPD (past)
• Katelyn M Sweet, DDS

  • General Practice Dentistry
  • Jbsa Ft Sam Houston, TX
  • NPI 1235620535
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1316606718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 DOCTORS CT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944101",
            "telephone_number": "920-262-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 DOCTORS CT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944101",
            "telephone_number": "920-262-2176",
            "fax_number": "920-262-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CULLINGS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "920-262-2176",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Charles Reich
• Jennifer Lynn Reithmeyer, PHARMD
• Steven P Rhodes, M.D.
• Zachary Richardson, MD
• River View Platinum LLC (River View)
• Riverside Dental Services Incorporated
• Riverview Chiropractic, S.C.
• Rock River Community Clinic Inc
• Rock River Foot & Ankle Clinic, SC
• Rock River Foot and Ankle Clinic SC

• General Practice Dentistry in Watertown, WI
• Providers in Watertown, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.