NPIMap

Organization Active NPI

River Ridge Oral & Maxillofacial Surgical Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Sioux Falls, SD
National Provider Identifier
1376522714
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
NO # Issued in SD
Legal business name
RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER
Doing business as
River Ridge Oral & Maxillofacial Surgical Center
Practice address
1700 S Southeastern Ave
Sioux Falls, SD 57103-3227
Phone
(605) 331-5059
Fax
(605) 275-6725
NPI assigned
Jan 13, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Linda K Christensen
Title
Business Manager
Phone
(605) 331-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NO # SD Primary

Addresses

Primary practice location

1700 S Southeastern Ave
Sioux Falls, SD 57103-3227

Mailing address

1700 S Southeastern Ave
Sioux Falls, SD 57103-3227
Phone (605) 331-5059

Other identifiers 1

IdentifierTypeStateIssuer
104737OtherSDHEALTH PARTNERSPRACTICE #

Other names 1

  • River Ridge Oral & Maxillofacial Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1700 S Southeastern Ave
Sioux Falls, SD 57103
Phone (605) 331-5059

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1376522714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S SOUTHEASTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033227",
            "telephone_number": "605-331-5059",
            "fax_number": "605-275-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S SOUTHEASTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033227",
            "telephone_number": "605-331-5059",
            "fax_number": "605-275-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-331-5059"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SD",
            "license": "NO #",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERSPRACTICE #",
            "identifier": "104737",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Ridge Oral & Maxillofacial Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.