Riverdale Dental Centre

Primary specialty

DentistTaxonomy code 122300000X

License

014147 Issued in CO

Legal business name

RIVERDALE DENTAL CENTRE

Practice address

15 S 8TH Ave
Brighton, CO 80601-2128

Phone

(303) 659-1920

Fax

(303) 659-9191

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon Carl Bauman, D.D.S.NPI 1467507921

Title

Dentist

Phone

(303) 659-1920

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jon Carl Bauman, DDS

  • General Practice Dentistry
  • Brighton, CO
  • NPI 1467507921
  NPD (past) Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1740660919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 8TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012128",
            "telephone_number": "303-659-1820",
            "fax_number": "303-659-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 8TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012128",
            "telephone_number": "303-659-1920",
            "fax_number": "303-659-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE DENTAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-659-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "014147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Richmond-Coca, M.D.
• Yolanda Rios
• Michael Dirk Risch, RN
• Patrick R Ritchen, PT
• Riverdale Counseling Center, Inc.
• Riverdale Healthcare LLC (Riverdale Post Acute)
• Riverdale Healthcare LLC (Riverdale Post Acute)
• Alexa Rae Rives, LPC
• Evelin Robles
• Carlos G. Rodriguez, M.D.

• Dentist in Brighton, CO
• Providers in Brighton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.