Rivergate Dental Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS02226 Issued in TN

Legal business name

RIVERGATE DENTAL ASSOCIATES PC

Practice address

85 Cude LN
Madison, TN 37115-2292

Phone

(615) 859-2262

NPI assigned

Aug 11, 2009

Organization subpart

No

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

Authorized official

Name

Michael W Edge, DDS

Title

President

Phone

(615) 370-4605

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1760614606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306087",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306087",
            "telephone_number": "615-859-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152292",
            "telephone_number": "615-859-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-370-4605",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS02226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sean Ridenhour
• Rightnow Transportation
• Kaleb Rippy
• Lori Rivard, CRNA
• Rivergate Chiropractic
• Rivergate Operations, LLC
• Rivergate Village Dental
• Kimberly Rivers, NP
• Riverside Family Medicine
• Roberts Chiropractic LLC

• General Practice Dentistry in Madison, TN
• Providers in Madison, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.