River Cities Dental Sleep Medicine Corporation

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

4874 Issued in LA

Legal business name

RIVER CITIES DENTAL SLEEP MEDICINE CORPORATION

Practice address

1945 E 70TH St
Suite F
Shreveport, LA 71105-5347

Phone

(318) 797-1187

Fax

(318) 797-1164

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Jason I Dupree, D.D.S.

Title

Owner

Phone

(318) 797-1187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1568822237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 E 70TH ST",
            "address_2": "SUITE F",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055347",
            "telephone_number": "318-797-1187",
            "fax_number": "318-797-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 E 70TH ST",
            "address_2": "SUITE F",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055347",
            "telephone_number": "318-797-1187",
            "fax_number": "318-797-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITIES DENTAL SLEEP MEDICINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-797-1187",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "4874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macensie Leigh Ritch, RN
• Scott E Ritch, MD
• Rite Aid Corporation
• Lindsay Kristine Rittenhouse
• Michelle R Ritter, M.D.
• Holly Rivers, NP
• Mildred Rivers
• Terri Lane Rivers, M.C.D. CCC-SLP
• Bailey Rivet
• Road to Change

• Customized Equipment (DME) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.