NPIMap

Organization Active NPI

River City Dental

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1841459351
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D3586 Issued in ID
Legal business name
RIVER CITY DENTAL
Practice address
7723 W Riverside Dr
Boise, ID 83714-6182
Phone
(208) 853-8811
Fax
(208) 853-2495
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. Todd Kenith Walker, DDS
Title
Dentist
Phone
(208) 853-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D3586 ID Primary

Addresses

Primary practice location

7723 W Riverside Dr
Boise, ID 83714-6182

Mailing address

7723 W Riverside Dr
Boise, ID 83714-6182
Phone (208) 853-8811

National Provider Directory

National Provider Directory
Tax ID family
River City Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7723 W Riverside Dr
Boise, ID 83714
Phone (208) 853-8811

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1841459351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-853-8811",
            "fax_number": "208-853-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 W RIVERSIDE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146182",
            "telephone_number": "208-853-8811",
            "fax_number": "208-853-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KENITH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-853-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.