NPIMap

Organization Active NPI

River Town Dental, LLC

Doing business as Rivertown Dental

  • Dentist
  • Holmen, WI
National Provider Identifier
1699016618
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RIVER TOWN DENTAL, LLC
Doing business as
Rivertown Dental
Practice address
519 McHugh Road
Holmen, WI 54636-9256
Phone
(608) 526-9300
Fax
(608) 526-9310
NPI assigned
Mar 15, 2013
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Jennifer E. Schiffer
Title
Director of Administrative Operatio
Phone
(608) 788-0030

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
General Practice Dentistry 1223G0001X 5048 WI
General Practice Dentistry 1223G0001X 5215 WI
General Practice Dentistry 1223G0001X 6223 WI

Addresses

Primary practice location

519 McHugh Road
Holmen, WI 54636-9256

Mailing address

3143 State Road
Suite 100
La Crosse, WI 54601-6964
Phone (608) 788-0030

Other names 1

  • Rivertown Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
River Town Dental LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

519 McHugh Rd
Holmen, WI 54636
Phone (608) 526-9300

601 McHugh Rd
Holmen, WI 54636
Phone (608) 526-9300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1699016618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 STATE ROAD",
            "address_2": "SUITE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016964",
            "telephone_number": "608-788-0030",
            "fax_number": "608-788-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MCHUGH ROAD",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369256",
            "telephone_number": "608-526-9300",
            "fax_number": "608-526-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TOWN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "SCHIFFER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE OPERATIO",
        "authorized_official_telephone_number": "608-788-0030"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5048",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5215",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivertown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.