NPIMap

Organization Active NPI

River City Dental, PLLC

  • Dentist
  • Boise, ID
National Provider Identifier
1689968968
Registry record updated Jun 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D3475 Issued in ID
Legal business name
RIVER CITY DENTAL, PLLC
Practice address
7723 W Riverside Dr
Boise, ID 83714-6182
Phone
(208) 853-8811
Fax
(208) 853-2495
NPI assigned
Jun 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2011

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

Authorized official

Name
Dr. Franklin T Wortham
Title
Member
Phone
(907) 252-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D3475 ID Primary

Addresses

Primary practice location

7723 W Riverside Dr
Boise, ID 83714-6182

Mailing address

7723 W Riverside Dr
Boise, ID 83714-6182
Phone (208) 853-8811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307145600000",
    "number": "1689968968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-853-8811",
            "fax_number": "208-853-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-853-8811",
            "fax_number": "208-853-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A",
        "authorized_official_last_name": "WORTHAM",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-252-8907",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; 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.