River Run Dental of Greenbrier PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIVER RUN DENTAL OF GREENBRIER PLLC

Doing business as

Center for Restorative, Cosmetic & Implant Dentistry PC

Practice address

560 Kempsville Rd Ste 200
Chesapeake, VA 23320-3603

Phone

(757) 241-5735

NPI assigned

Jan 5, 2026

Organization subpart

No

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

Authorized official

Name

Kim Davis

Title

RCM Director

Phone

(703) 568-5773

Specialties & licenses 1

Addresses

Other names 1

• Center for Restorative, Cosmetic & Implant Dentistry PC Doing business as

Locations

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1679430417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604465",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604465",
            "telephone_number": "757-241-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 KEMPSVILLE RD STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203603",
            "telephone_number": "757-241-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RUN DENTAL OF GREENBRIER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "703-568-5773"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Restorative, Cosmetic & Implant Dentistry PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rite Aid of Virginia Inc (Rite Aid Pharmacy 01987)
• Rite Aid of Virginia Inc (Rite Aid Pharmacy 04692)
• Rite Aid of Virginia Inc (Rite Aid Pharmacy 04706)
• Jenna Rittenberry, MS. ED. CCC-SLP
• River Run Dental of Edinburgh PLLC (River Run Dental)
• Gabriela Esther Rivera Martinez
• Anna Rivera
• Luz Elena Rivera, LCSW
• Rene Rivera, MD
• Michelle Boucher Rivers

• General Practice Dentistry in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.