Organization Active NPI

TPC Enterprises

Doing business as RiverRock Dental

  • Dental Clinic/Center
  • Shakopee, MN
National Provider Identifier
1770137655
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TPC ENTERPRISES
Doing business as
RiverRock Dental
Practice address
403 1St Ave E
Shakopee, MN 55379-1439
Phone
(952) 445-5556
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Marissa Smith
Title
Office Manager
Phone
(952) 445-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

403 1St Ave E
Shakopee, MN 55379-1439

Mailing address

403 1St Ave E
Shakopee, MN 55379-1439
Phone (952) 445-5556

Other names 1

  • RiverRock Dental Doing business as

National Provider Directory

National Provider Directory

Locations

403 1st Ave E
Shakopee, MN 55379
Phone (952) 445-5556

Practitioners & affiliated clinicians

Practitioners 2

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": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1770137655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791439",
            "telephone_number": "952-445-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 1ST AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791439",
            "telephone_number": "952-445-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPC ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "952-445-5556"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverRock Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.