Organization Active NPI

Riverview Family Dental PC

  • Dental Clinic/Center
  • Fargo, ND
National Provider Identifier
1407030430
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RIVERVIEW FAMILY DENTAL PC
Practice address
100 4TH Street S #304
Fargo, ND 58103-1937
Phone
(701) 235-6075
Fax
(701) 239-0140
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
William G Stearns, DDS
Title
President-
Phone
(701) 235-6075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 4TH Street S #304
Fargo, ND 58103-1937

Mailing address

100 4TH Street S #304
Fargo, ND 58103-1937
Phone (701) 235-6075

National Provider Directory

National Provider Directory

Locations

100 4th St S
#304
Fargo, ND 58103
Phone (701) 235-6075

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1407030430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 4TH STREET S #304",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031937",
            "telephone_number": "701-235-6075",
            "fax_number": "701-239-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 4TH STREET S #304",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031937",
            "telephone_number": "701-235-6075",
            "fax_number": "701-239-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT-",
        "authorized_official_telephone_number": "701-235-6075",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.