Rivers End Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN.00010764 Issued in CO

Legal business name

RIVERS END DENTAL

Practice address

532 Raptor Road
Unit B
Fruita, CO 81521

Phone

(970) 639-1500

NPI assigned

Jun 1, 2018

Last updated

Jun 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Lee Patrick, DDSNPI 1457616278

Title

Owner/Dentist

Phone

(970) 639-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin Lee Patrick, D.D.S.

  • Dentist
  • Fruita, CO
  • NPI 1457616278
  NPD Authorized official

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1851883284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 DRUMLIN CIR",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212588",
            "telephone_number": "970-639-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 RAPTOR ROAD",
            "address_2": "UNIT B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "81521",
            "telephone_number": "970-639-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS END DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "970-639-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DEN.00010764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Richards
• Kimberly Inez Rieniets, D.O.
• Right by Your Side Home Care
• Right by Your Side Home Care, LLC (Right By Your Side Home Care)
• Amanda Lynn Ripley, RN, BSN
• Courtney C Roelfs, OT
• Brienne Nicole Rogers, OTR/L, CLT
• Michael D Rooks, MD
• Roots, Limited Liability Co.
• Laura Michelle Ross, MD

• Dental Clinic/Center in Fruita, CO
• Providers in Fruita, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.