NPIMap

Organization Active NPI

River Oaks Dental

  • General Practice Dentistry
  • Aitkin, MN
National Provider Identifier
1780920256
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12595 Issued in MN
Legal business name
RIVER OAKS DENTAL
Practice address
1050 Minnesota Ave S
Aitkin, MN 56431-7412
Phone
(218) 927-3785
Fax
(218) 927-1785
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sean Fleming, DDSNPI 1801051685
Title
Owner
Phone
(218) 927-3785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D12595 MN Primary

Addresses

Primary practice location

1050 Minnesota Ave S
Aitkin, MN 56431-7412

Mailing address

1050 Minnesota Ave S
Aitkin, MN 56431-1642
Phone (218) 927-3785

Other practice location 1

18 3rd St SW
Aitkin, MN 56431-1642
Phone (218) 927-3785

National Provider Directory

National Provider Directory

Locations

1050 Minnesota Ave S
Aitkin, MN 56431
Phone (218) 927-3785

Practitioners & affiliated clinicians

Practitioners 4

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": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780920256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MINNESOTA AVE S",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311642",
            "telephone_number": "218-927-3785",
            "fax_number": "218-927-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MINNESOTA AVE S",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564317412",
            "telephone_number": "218-927-3785",
            "fax_number": "218-927-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Aitkin",
            "state": "MN",
            "postal_code": "564311642",
            "country_code": "US",
            "telephone_number": "218-927-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER OAKS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-927-3785",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.