Active NPI
Riverside Family Dentistry
- Dentist
- Virginia Beach, VA
National Provider Identifier
1811808389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- RIVERSIDE FAMILY DENTISTRY
- Practice address
- 367 Independence Blvd
Virginia Beach, VA 23462-2822 - Phone
- (757) 497-2988
- Fax
- (757) 497-5387
- NPI assigned
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ritchelle San Juan
- Title
- Office Manager
- Phone
- (757) 497-2988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
367 Independence Blvd
Virginia Beach, VA 23462-2822
Mailing address
367 Independence Blvd
Virginia Beach, VA 23462-2822
Phone (757) 497-2988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1811808389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 INDEPENDENCE BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622822",
"telephone_number": "757-497-2988",
"fax_number": "757-497-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 INDEPENDENCE BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622822",
"telephone_number": "757-497-2988",
"fax_number": "757-497-5387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "SAN JUAN",
"authorized_official_first_name": "RITCHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "757-497-2988"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.