Riverview Community Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RIVERVIEW COMMUNITY DENTAL CLINIC

Practice address

1160 Rome Center Dr
Nekoosa, WI 54457

Phone

(715) 422-7750

Fax

(715) 424-9027

NPI assigned

Sep 19, 2008

Last updated

Sep 19, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVERVIEW HOSPITAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Celse A Berard

Title

President

Phone

(715) 421-7410

Specialties & licenses 1

Addresses

Part of

Riverview Hosp Crnas

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1851541403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944714",
            "telephone_number": "715-422-7750",
            "fax_number": "715-424-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 ROME CENTER DR",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "54457",
            "telephone_number": "715-422-7750",
            "fax_number": "715-424-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW COMMUNITY DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERVIEW HOSPITAL ASSOCIATION",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "BERARD",
        "authorized_official_first_name": "CELSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-421-7410"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NSH Nekoosa LLC
• Pacific International, LTD.
• Phillips Reedsburg Pharmacy Inc (Phillips Nekoosa Pharmacy)
• Jamie Reimer
• Pamela Ann Reimer, RN
• Riverview Hospital Association (Riverview Family Clinic)
• Riverview Hospital Association (Riverview Family Clinic)
• Riverview Hospital Association (Riverview Family Clinic)
• Debora Lynn Schwartz, LPN
• Mark Lenis Sheker, D.D.S.

• General Practice Dentistry in Nekoosa, WI
• Providers in Nekoosa, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.