Active NPI
River Town Dental, LLC
Doing business as Rivertown Dental
- Dentist
- Viroqua, WI
National Provider Identifier
1316682974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- RIVER TOWN DENTAL, LLC
- Doing business as
- Rivertown Dental
- Practice address
- 1202 N Main St Ste C
Viroqua, WI 54665-1172 - Phone
- (608) 740-2722
- NPI assigned
- Apr 28, 2022
- Last updated
- Jul 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Schiffer
- Title
- Director of Admin Operations
- Phone
- (608) 788-0030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1202 N Main St Ste C
Viroqua, WI 54665-1172
Mailing address
3143 State Rd Ste 100
La Crosse, WI 54601-6964
Phone (608) 788-0030
Other names 1
- Rivertown Dental
National Provider Directory
National Provider Directory- Tax ID family
- River Town Dental LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1202 N Main St
Ste C
Viroqua, WI 54665
Phone (608) 740-2722
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Holmen, WI
- NPI 1235025867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1316682974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 STATE RD STE 100",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546016964",
"telephone_number": "608-788-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 N MAIN ST STE C",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651172",
"telephone_number": "608-740-2722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER TOWN DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "SCHIFFER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR OF ADMIN OPERATIONS",
"authorized_official_telephone_number": "608-788-0030"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rivertown Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.