Active NPI
Riverview Family Dental PC
- Dental Clinic/Center
- Fargo, ND
National Provider Identifier
1407030430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Fargo, ND
- NPI 1942427661
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.