Rivergate Village Dental

Primary specialty

DentistTaxonomy code 122300000X

License

8569 Issued in TN

Legal business name

RIVERGATE VILLAGE DENTAL

Practice address

1570 Gallatin Pike N
Madison, TN 37115-2124

Phone

(615) 865-6000

Fax

(615) 865-6069

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Shawn Foster

Title

Practice Admin/Regional Director Op

Phone

(615) 498-4323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1336459791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152124",
            "telephone_number": "615-865-6000",
            "fax_number": "615-865-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152124",
            "telephone_number": "615-865-6000",
            "fax_number": "615-865-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE VILLAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRACTICE ADMIN/REGIONAL DIRECTOR OP",
        "authorized_official_telephone_number": "615-498-4323",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Rippy
• Lori Rivard, CRNA
• Rivergate Chiropractic
• Rivergate Dental Associates PC
• Rivergate Operations, LLC
• Kimberly Rivers, NP
• Riverside Family Medicine
• Roberts Chiropractic LLC
• Roberts Chiropractic LLC
• Roberts Integrative Medicine, LLC

• Dentist in Madison, TN
• Providers in Madison, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.