NPIMap

Organization Active NPI

River City Dental Group, Inc

  • General Practice Dentistry
  • Marietta, OH
National Provider Identifier
1851515043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16905 Issued in OH
Legal business name
RIVER CITY DENTAL GROUP, INC
Practice address
124 3Rd St
Marietta, OH 45750-3108
Phone
(740) 373-1826
Fax
(740) 373-1825
NPI assigned
Apr 12, 2007
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
Dr. Timothy C. Tilton, DDSNPI 1013915453
Title
President
Phone
(740) 373-1826

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 16905 OH Primary

Addresses

Primary practice location

124 3Rd St
Marietta, OH 45750-3108

Mailing address

124 3Rd St
Marietta, OH 45750-3108
Phone (740) 373-1826

Other identifiers 2

IdentifierTypeStateIssuer
16905OtherOHOHIO DENTAL LICENSE
18750OtherOHOHIO DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

124 3rd St
Marietta, OH 45750
Phone (740) 373-1826

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851515043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503108",
            "telephone_number": "740-373-1826",
            "fax_number": "740-373-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503108",
            "telephone_number": "740-373-1826",
            "fax_number": "740-373-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY DENTAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-373-1826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL LICENSE",
            "identifier": "16905",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL LICENSE",
            "identifier": "18750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

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.