Riverwalk Dental Arts, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIVERWALK DENTAL ARTS, PLLC

Practice address

115 Wilcox St Ste 123
Castle Rock, CO 80104-1992

Phone

(303) 829-0591

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Katherine T Johnson, DDS

Title

Member

Phone

(303) 829-0591

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1508417270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15585 W HARVARD AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802285546",
            "telephone_number": "303-829-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILCOX ST STE 123",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041992",
            "telephone_number": "303-829-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK DENTAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-829-0591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORAD STATE DENTAL LICENSE",
            "identifier": "9903",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.riverpointdentalarts.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "115 Wilcox St Ste 123",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801041992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariellen Dawn Rike, MA
• Robert Ringwall
• Geoffrey Rink, M.A.
• Rebecca Ripp
• Alyssa Risley
• Amber Rizor
• RJB Spine, LLC
• Douglas Roberts Jr.
• Jacob Tyler Roberts, PHARMD
• Rachel Marie Roberts, AUD

• Dental Clinic/Center in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.