NPIMap

Organization Active NPI

River Town Dental, LLC

  • Dentist
  • La Crosse, WI
National Provider Identifier
1750342176
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
Practice address
3143 State Road
Suite 100
La Crosse, WI 54601-6964
Phone
(608) 788-6030
Fax
(608) 788-7881
NPI assigned
Mar 28, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3143 State Road
Suite 100
La Crosse, WI 54601-6964

Mailing address

3143 State Road
Suite 100
La Crosse, WI 54601-6964
Phone (608) 788-6030

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

3143 State Rd
La Crosse, WI 54601
Phone (608) 788-0030

Practitioners & affiliated clinicians

Practitioners 3

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": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1750342176",
    "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": "608-788-6030",
            "fax_number": "608-788-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 STATE ROAD",
            "address_2": "SUITE 100",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016964",
            "telephone_number": "608-788-6030",
            "fax_number": "608-788-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER TOWN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivertown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, 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.