Riversedge Wellness

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RIVERSEDGE WELLNESS

Practice address

227 Main St
Old Town, ME 04468-1470

Phone

(207) 827-5951

NPI assigned

May 15, 2024

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Sanborn

Title

Office Manager

Phone

(207) 570-9307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1407605124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681470",
            "telephone_number": "207-827-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681470",
            "telephone_number": "207-827-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSEDGE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-570-9307"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma April Richford
• Joshua Richie, PMHNP
• Rite Aid of Maine Inc (Rite Aid Pharmacy 03295)
• Christopher Albert Ritter, MD
• Riversedge Chiropractic Wellness Center LLC
• RJ Dental PA
• Alton Robbins, BCABA
• Charles A Roberts, PAC
• Chandra Mae Rogers
• Jonathan Roy

• General Practice Physician in Old Town, ME
• Providers in Old Town, ME by specialty
• General Practice Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.