NPIMap

Organization Active NPI

River City Denture and Dental

  • Dentist
  • Grants Pass, OR
National Provider Identifier
1487894960
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6252 Issued in OR
Legal business name
RIVER CITY DENTURE AND DENTAL
Practice address
1010 NE 7TH St
Grants Pass, OR 97526-1420
Phone
(541) 476-7483
Fax
(541) 955-8029
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Mr. Robert Dewayne Schroeder, L.DNPI 1689698797
Title
Owner
Phone
(541) 476-7483

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6252 OR Primary

Addresses

Primary practice location

1010 NE 7TH St
Grants Pass, OR 97526-1420

Mailing address

1010 NE 7TH St
Grants Pass, OR 97526-1420
Phone (541) 476-7483

National Provider Directory

National Provider Directory

Locations

1010 NE 7th St
Grants Pass, OR 97526
Phone (541) 476-7483

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1487894960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261420",
            "telephone_number": "541-476-7483",
            "fax_number": "541-955-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261420",
            "telephone_number": "541-476-7483",
            "fax_number": "541-955-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY DENTURE AND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-476-7483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.