Organization Active NPI

River City Dental Group

  • General Practice Dentistry
  • Fair Oaks, CA
National Provider Identifier
1700276771
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63895 Issued in CA
Legal business name
RIVER CITY DENTAL GROUP
Practice address
8908 Madison Ave
Fair Oaks, CA 95628-4000
Phone
(916) 536-5151
Fax
(916) 536-5154
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Victoria Katherine Choi Lai, DDS
Title
Associate DDS
Phone
(916) 536-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 63895 CA Primary

Addresses

Primary practice location

8908 Madison Ave
Fair Oaks, CA 95628-4000

Mailing address

8908 Madison Ave
Fair Oaks, CA 95628-4000
Phone (916) 536-5151

National Provider Directory

National Provider Directory
Tax ID family
Kim and Rodgers Dental Corporation2 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.

Locations

8908 Madison Ave
Fair Oaks, CA 95628
Phone (916) 536-5151

Practitioners & affiliated clinicians

Practitioners 2

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": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1700276771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 MADISON AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284000",
            "telephone_number": "916-536-5151",
            "fax_number": "916-536-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8908 MADISON AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284000",
            "telephone_number": "916-536-5151",
            "fax_number": "916-536-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "KATHERINE CHOI",
        "authorized_official_title_or_position": "ASSOCIATE DDS",
        "authorized_official_telephone_number": "916-536-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.