NPIMap

Organization Active NPI

Riverchase Dental Care

  • Dentist
  • Phenix City, AL
National Provider Identifier
1659634137
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4726 Issued in AL
Legal business name
RIVERCHASE DENTAL CARE
Practice address
5009 Riverchase Drive
Building 100 Suite B
Phenix City, AL 36870
Phone
(334) 664-1011
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dayo Obebe, DMDNPI 1043266893
Title
Doctor
Phone
(334) 664-1011

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4726 AL Primary

Addresses

Primary practice location

5009 Riverchase Drive
Building 100 Suite B
Phenix City, AL 36870

Mailing address

5009 Riverchase Drive
Building 100 Suite B
Phenix City, AL 36870
Phone (334) 664-1011

National Provider Directory

National Provider Directory
Tax ID family
Riverchase Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1659634137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DRIVE",
            "address_2": "BUILDING 100 SUITE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36870",
            "telephone_number": "334-664-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DRIVE",
            "address_2": "BUILDING 100 SUITE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "36870",
            "telephone_number": "334-664-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCHASE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "OBEBE",
        "authorized_official_first_name": "DAYO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "334-664-1011",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "4726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.