Organization Active NPI

River Falls Family Dentisty LTD

  • Dentist
  • River Falls, WI
National Provider Identifier
1790883221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RIVER FALLS FAMILY DENTISTY LTD
Practice address
107 E Locust St
River Falls, WI 54022-2419
Phone
(715) 425-5780
Fax
(715) 425-1791
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
David A Page, DDSNPI 1225124290
Title
Owner
Phone
(715) 425-5780

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

107 E Locust St
River Falls, WI 54022-2419

Mailing address

107 E Locust St
River Falls, WI 54022-2419
Phone (715) 425-5780

National Provider Directory

National Provider Directory

Locations

107 E Locust St
River Falls, WI 54022
Phone (715) 425-5780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790883221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E LOCUST ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222419",
            "telephone_number": "715-425-5780",
            "fax_number": "715-425-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E LOCUST ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222419",
            "telephone_number": "715-425-5780",
            "fax_number": "715-425-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS FAMILY DENTISTY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-425-5780",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, 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.