NPIMap

Organization Active NPI

Richview Family Dentistry

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1851699284
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4228 Issued in TN
Legal business name
RICHVIEW FAMILY DENTISTRY
Practice address
2289 Rudolphtown Rd
Suite a
Clarksville, TN 37043-2230
Phone
(931) 647-2243
Fax
(931) 645-8553
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
William H. Wall III, DDSNPI 1154480309
Title
General Partner-Owner
Phone
(931) 647-2243

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 SINGLE SPECIALTY GROUP 1223G0001X 4228 TN Primary

Addresses

Primary practice location

2289 Rudolphtown Rd
Suite a
Clarksville, TN 37043-2230

Mailing address

2289 Rudolphtown Rd
Suite a
Clarksville, TN 37043-2230
Phone (931) 647-2243

National Provider Directory

National Provider Directory

Locations

2289 Rudolphtown Rd
Ste A
Clarksville, TN 37043
Phone (931) 647-2243

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": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1851699284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 RUDOLPHTOWN RD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432230",
            "telephone_number": "931-647-2243",
            "fax_number": "931-645-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 RUDOLPHTOWN RD",
            "address_2": "SUITE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432230",
            "telephone_number": "931-647-2243",
            "fax_number": "931-645-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHVIEW FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "GENERAL PARTNER-OWNER",
        "authorized_official_telephone_number": "931-647-2243",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.