Organization Active NPI

Rivergate Dental Group, PC

  • General Practice Dentistry
  • Goodlettsville, TN
National Provider Identifier
1902570476
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVERGATE DENTAL GROUP, PC
Practice address
309 Northcreek Blvd
Goodlettsville, TN 37072-1995
Phone
(615) 851-1777
Fax
(615) 851-1740
NPI assigned
Aug 6, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Daphne L Schwartz, OM
Title
Operations Manager
Phone
(615) 851-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

309 Northcreek Blvd
Goodlettsville, TN 37072-1995

Mailing address

309 Northcreek Blvd
Goodlettsville, TN 37072-1995
Phone (615) 851-1777

National Provider Directory

National Provider Directory

Locations

309 Northcreek Blvd
Goodlettsville, TN 37072
Phone (615) 851-1777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1902570476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NORTHCREEK BLVD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721995",
            "telephone_number": "615-851-1777",
            "fax_number": "615-851-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NORTHCREEK BLVD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721995",
            "telephone_number": "615-851-1777",
            "fax_number": "615-851-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGATE DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "615-851-1777",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.