NPIMap

Organization Active NPI

Risser Endodontics P.C.

  • Endodontics
  • South Bend, IN
National Provider Identifier
1497858864
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12010063A Issued in IN
Legal business name
RISSER ENDODONTICS P.C.
Practice address
225 N Notre Dame Ave
Suite 2
South Bend, IN 46617
Phone
(574) 232-5866
Fax
(574) 287-8891
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Scott Elliot Risser, DDS MSDNPI 1740365964
Title
Owner
Phone
(574) 232-5866

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 12010063A IN Primary

Addresses

Primary practice location

225 N Notre Dame Ave
Suite 2
South Bend, IN 46617

Mailing address

225 N Notre Dame Ave
Suite 2
South Bend, IN 46617
Phone (574) 232-5866

National Provider Directory

National Provider Directory

Locations

225 N Notre Dame Ave
Ste 2
South Bend, IN 46617
Phone (574) 232-5866

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1497858864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N NOTRE DAME AVE",
            "address_2": "SUITE 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46617",
            "telephone_number": "574-232-5866",
            "fax_number": "574-287-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N NOTRE DAME AVE",
            "address_2": "SUITE 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46617",
            "telephone_number": "574-232-5866",
            "fax_number": "574-287-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISSER ENDODONTICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-232-5866",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IN",
            "license": "12010063A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.