NPIMap

Organization Active NPI

River Crossing Dental Professional Corporation

  • Dental Clinic/Center
  • Riverton, UT
National Provider Identifier
1821516063
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7020843 Issued in UT
Legal business name
RIVER CROSSING DENTAL PROFESSIONAL CORPORATION
Practice address
12427 South 4000 West
Suite #200
Riverton, UT 84095
Phone
(801) 254-8812
Fax
(801) 254-4650
NPI assigned
Sep 8, 2017
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
Dr. John Peterson, DDSNPI 1598905929
Title
Owner/Operator
Phone
(801) 254-8812

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
Dental Clinic/Center 261QD0000X 7020843 UT Primary

Addresses

Primary practice location

12427 South 4000 West
Suite #200
Riverton, UT 84095

Mailing address

12427 South 4000 West
Suite #200
Riverton, UT 84095
Phone (801) 254-8812

Other names 1

  • River Crossing Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821516063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12427 SOUTH 4000 WEST",
            "address_2": "SUITE #200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-254-8812",
            "fax_number": "801-254-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12427 SOUTH 4000 WEST",
            "address_2": "SUITE #200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-254-8812",
            "fax_number": "801-254-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CROSSING DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-254-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "7020843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Crossing Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, UT

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.