Organization Active NPI

Riviera Dental Care, P.C.

  • General Practice Dentistry
  • Foley, AL
National Provider Identifier
1437329026
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5438 Issued in AL
Legal business name
RIVIERA DENTAL CARE, P.C.
Practice address
198 County Road 20
Foley, AL 36535-3426
Phone
(251) 943-3368
Fax
(251) 943-1798
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Chancellor D. McLemore, D.M.D.NPI 1487728192
Title
President
Phone
(251) 943-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5438 AL Primary

Addresses

Primary practice location

198 County Road 20
Foley, AL 36535-3426

Mailing address

198 County Road 20
Foley, AL 36535-3426
Phone (251) 943-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124002859 AL DME Supplier - Oral Surgery - Dentist 5193178341 Practice locations: Foley, AL

National Provider Directory

National Provider Directory

Locations

198 County Road 20
Foley, AL 36535
Phone (251) 943-3368

Practitioners & affiliated clinicians

Practitioners 1

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1437329026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 COUNTY ROAD 20",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353426",
            "telephone_number": "251-943-3368",
            "fax_number": "251-943-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 COUNTY ROAD 20",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353426",
            "telephone_number": "251-943-3368",
            "fax_number": "251-943-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVIERA DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "CHANCELLOR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-943-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.