Riviera Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIVIERA FAMILY DENTISTRY, LLC

Practice address

1945 S Sheridan Blvd
Denver, CO 80227-3772

Phone

(773) 751-8879

NPI assigned

Nov 16, 2020

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Kingsberg, DMD

Title

Owner Dentist

Phone

(954) 288-8582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1497357297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 S SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 S SHERIDAN BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273772",
            "telephone_number": "773-751-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVIERA FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "KINGSBERG",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-288-8582",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.