Organization Active NPI

Riverside Family Dental

Doing business as Brilliant Smiles

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1871794131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18186 Issued in OH
Legal business name
RIVERSIDE FAMILY DENTAL
Doing business as
Brilliant Smiles
Practice address
547 Spinning Rd
Dayton, OH 45431-2157
Phone
(937) 252-1463
NPI assigned
May 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Jonell L. Voskuhl
Title
Administrator
Phone
(937) 376-9975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18186 OH Primary

Addresses

Primary practice location

547 Spinning Rd
Dayton, OH 45431-2157

Mailing address

547 Spinning Rd
Dayton, OH 45431-2157
Phone (937) 252-1463

Other names 1

  • Brilliant Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

547 Spinning Rd
Dayton, OH 45431
Phone (937) 252-1463

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871794131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SPINNING RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312157",
            "telephone_number": "937-252-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 SPINNING RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312157",
            "telephone_number": "937-252-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOSKUHL",
        "authorized_official_first_name": "JONELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-376-9975"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliant Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, 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.