My Rivertown Dentist LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MY RIVERTOWN DENTIST LLC

Practice address

2513 Michigan Rd
Madison, IN 47250-2422

Phone

(812) 273-2388

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Ashley LeeNPI 1932460029

Title

Owner

Phone

(812) 273-2388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Ann Lee, D.M.D.

  • Dentist
  • Madison, IN
  • NPI 1932460029
  NPD Authorized official

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1477176253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 MICHIGAN RD",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502422",
            "telephone_number": "812-273-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 MICHIGAN RD",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502422",
            "telephone_number": "812-273-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RIVERTOWN DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-273-2388"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia D Mincher, APRN
• Christy Eileen Minor, APRN
• Stephanie Nicole Morgan
• Barbara A Mullikin, APRN
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• Sharon Neal, MA
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• Thomas J Neyer, R.PH.

• Dentist in Madison, IN
• Providers in Madison, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.