Active NPI
River City Dentistry
- General Practice Dentistry
- Sandston, VA
National Provider Identifier
1619429602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RIVER CITY DENTISTRY
- Practice address
- 39 W Williamsburg Rd
Sandston, VA 23150-2040 - Phone
- (804) 737-7402
- NPI assigned
- Oct 26, 2016
- Organization subpart
- Yes
- Parent organization
- CENTRAL VIRGINIA DENTAL CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Overstreet, DDS
- Title
- Dentist/Owner
- Phone
- (804) 737-7402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
39 W Williamsburg Rd
Sandston, VA 23150-2040
Mailing address
39 W Williamsburg Rd
Sandston, VA 23150-2040
Phone (804) 737-7402
National Provider Directory
National Provider Directory- Tax ID family
- Cooke Richardson Overstreet DDS PC
- Part of
- Russell Mosher DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Sandston, VA
- NPI 1407923691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1619429602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 W WILLIAMSBURG RD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231502040",
"telephone_number": "804-737-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 W WILLIAMSBURG RD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231502040",
"telephone_number": "804-737-7402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CITY DENTISTRY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL VIRGINIA DENTAL CARE",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "OVERSTREET",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "804-737-7402",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.