Riverbend Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025281 Issued in IL

Legal business name

RIVERBEND DENTAL LLC

Practice address

215 E Center Drive
Suite E
Alton, IL 62002

Phone

(618) 462-3330

Fax

(618) 462-3330

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Cory E Darr

Title

Company President

Phone

(618) 692-1110

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H Kiehne, DDS

  • Dentist
  • Alton, IL
  • NPI 1639218803
  NPD (past)
• Kaitlyn Stanton, DMD

  • Dentist
  • Belleville, IL
  • NPI 1659113827
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1730478470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 EDWARDSVILLE CLUB PLAZA",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "62025",
            "telephone_number": "888-502-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E CENTER DRIVE",
            "address_2": "SUITE E",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-462-3330",
            "fax_number": "618-462-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COMPANY PRESIDENT",
        "authorized_official_telephone_number": "618-692-1110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela V Riegel, DMD
• David Riesenberger, M.D.
• Katie Ringering
• Brenda Ringhausen
• Susanne Palladino Ringhausen, M.A.
• Riverbend Head Start & Family Services
• Riverbend Head Start & Family Services
• Riverbend Head Start & Family Services
• Miranda Walker Robbins, LCSW
• Regina Robeen, ASN,RN

• General Practice Dentistry in Alton, IL
• Providers in Alton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.