NPIMap

Organization Active NPI

Riverwalk Dentistry SC

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1780790295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WI3500015 Issued in WI
Legal business name
RIVERWALK DENTISTRY SC
Practice address
735 N Water Street
Suite 826
Milwaukee, WI 53202-4104
Phone
(414) 271-1770
Fax
(414) 271-1746
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bryan Gapson, DDS
Title
Dentist President
Phone
(414) 271-1770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X WI3500015 WI Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5000468015 WI

Addresses

Primary practice location

735 N Water Street
Suite 826
Milwaukee, WI 53202-4104

Mailing address

735 N Water Street
Suite 826
Milwaukee, WI 53202-4104
Phone (414) 271-1770

National Provider Directory

National Provider Directory

Locations

735 N Water St
Ste 826
Milwaukee, WI 53202
Phone (414) 271-1770

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780790295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N WATER STREET",
            "address_2": "SUITE 826",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024104",
            "telephone_number": "414-271-1770",
            "fax_number": "414-271-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N WATER STREET",
            "address_2": "SUITE 826",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024104",
            "telephone_number": "414-271-1770",
            "fax_number": "414-271-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAPSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DENTIST  PRESIDENT",
        "authorized_official_telephone_number": "414-271-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "WI3500015",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5000468015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.