Organization Active NPI

Riverview Dental Care LTD

  • Dentist
  • St Charles, IL
National Provider Identifier
1760877583
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025372 Issued in IL
Legal business name
RIVERVIEW DENTAL CARE LTD
Practice address
451 Dunham Rd
Saint Charles, IL 60174-1431
Phone
(847) 530-9675
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Jigna T Thakkar, DDS
Title
President
Phone
(847) 530-9675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025372 IL Primary

Addresses

Primary practice location

451 Dunham Rd
Saint Charles, IL 60174-1431

Mailing address

451 Dunham Rd
Saint Charles, IL 60174-1431
Phone (847) 530-9675

National Provider Directory

National Provider Directory

Locations

451 Dunham Rd
St Charles, IL 60174
Phone (630) 549-6474

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1760877583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741431",
            "telephone_number": "847-530-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741431",
            "telephone_number": "847-530-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "JIGNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-530-9675",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.