River Road Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RIVER ROAD PEDIATRIC DENTISTRY, LLC

Practice address

865 River Rd Ste 10
Shelton, CT 06484-5464

Phone

(203) 209-0202

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Rabine, DDS

Title

Owner

Phone

(203) 209-0202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1902426240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 RIVER RD STE 10",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 RIVER RD STE 10",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845464",
            "telephone_number": "203-209-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROAD PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "RABINE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-209-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Richard Richo, M.D., PHD
• Anna Riolo
• Kelly Riordan, MA
• Marybeth Rivard, APRN
• Michelle Rivelli, M.D.
• Amariliz Rivera
• Cheri Lee Rizio
• Frank D Rizzardi Jr., RPH
• Danielle Rodriguez, MA, BCBA, LBA
• Jennifer Rodriguez

• Pediatric Dentistry in Shelton, CT
• Providers in Shelton, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.