NPIMap

Organization Active NPI

Riverpoint Dental

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1477822484
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027118 Issued in IL
Legal business name
RIVERPOINT DENTAL
Practice address
1730 W Fullerton Ave
Suite 26
Chicago, IL 60614-1900
Phone
(773) 281-3000
Fax
(773) 281-3033
NPI assigned
Dec 20, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Grisel Yumira Rincon, DDSNPI 1912110289
Title
Owner
Phone
(773) 281-3000

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 019027118 IL Primary

Addresses

Primary practice location

1730 W Fullerton Ave
Suite 26
Chicago, IL 60614-1900

Mailing address

1730 W Fullerton Ave
Suite 26
Chicago, IL 60614-1900
Phone (773) 281-3000

Other names 1

  • GRISEL RINCON DDS, PC Other name

National Provider Directory

National Provider Directory
Tax ID family
Grisel Rincon DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1730 W Fullerton Ave
Ste 26
Chicago, IL 60614
Phone (773) 281-3000

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": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1477822484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "address_2": "SUITE 26",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-281-3000",
            "fax_number": "773-281-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "address_2": "SUITE 26",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-281-3000",
            "fax_number": "773-281-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPOINT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "RINCON",
        "authorized_official_first_name": "GRISEL",
        "authorized_official_middle_name": "YUMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-281-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRISEL RINCON DDS, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.