NPIMap

Organization Active NPI

Riverwalk Group, Inc.

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1649645565
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856551 Issued in MA
Legal business name
RIVERWALK GROUP, INC.
Practice address
290 Merrimack St
Lawrence, MA 01843-1782
Phone
(978) 682-5500
Fax
(978) 682-5005
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Entela Cika, DMD
Title
Director
Phone
(508) 615-3989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN1856551 MA Primary

Addresses

Primary practice location

290 Merrimack St
Lawrence, MA 01843-1782

Mailing address

290 Merrimack Street
Lawrence, MA 01843
Phone (978) 682-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1649645565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01843",
            "telephone_number": "978-682-5500",
            "fax_number": "978-682-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431782",
            "telephone_number": "978-682-5500",
            "fax_number": "978-682-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "CIKA",
        "authorized_official_first_name": "ENTELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-615-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.