River Run Dental of Richmond, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RIVER RUN DENTAL OF RICHMOND, PLLC

Practice address

7820 Shrader Rd
Richmond, VA 23294-4222

Phone

(804) 262-1060

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1417610452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 SHRADER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944222",
            "telephone_number": "804-262-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RUN DENTAL OF RICHMOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Residential Services, LLC
• River City Surgical, PLLC
• River Elite Performance
• River Road TMS, LLC
• River Run Dental of Libbie Mill, PLLC
• River'S Way Healthcare of Virginia PLLC
• Alana Isabella Rivera
• Alexandra Rivera, M.S., CCC-SLP
• Shamaya Rivera
• Rivers Bend Clinicals, LLC

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.