NPIMap

Organization Active NPI

Rivergate Dermatology

  • Specialist
  • Goodlettsville, TN
National Provider Identifier
1467648170
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MDO17949 Issued in TN
Legal business name
RIVERGATE DERMATOLOGY
Practice address
201 Bluebird Dr
Goodlettsville, TN 37072-2301
Phone
(615) 859-7546
Fax
(615) 851-7760
NPI assigned
Sep 18, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Keith H. LovenNPI 1235116518
Title
Owner/Lead Doctor
Phone
(615) 859-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MDO17949 TN Primary

Addresses

Primary practice location

201 Bluebird Dr
Goodlettsville, TN 37072-2301

Mailing address

201 Bluebird Dr
Goodlettsville, TN 37072-2301
Phone (615) 859-7546

Other identifiers 2

IdentifierTypeStateIssuer
1235116518OtherTNNPI #
3708943OtherTNMEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

225 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1821

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1467648170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722301",
            "telephone_number": "615-859-7546",
            "fax_number": "615-851-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722301",
            "telephone_number": "615-859-7546",
            "fax_number": "615-851-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "LOVEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/LEAD DOCTOR",
        "authorized_official_telephone_number": "615-859-7546",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MDO17949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1235116518",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "3708943",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

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