Organization Active NPI

Riverheart Family Dentistry

  • Dental Clinic/Center
  • O'Fallon, MO
National Provider Identifier
1932565504
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2011030941 Issued in MO
Legal business name
RIVERHEART FAMILY DENTISTRY
Practice address
8618 Mexico Rd
O Fallon, MO 63366-7507
Phone
(636) 205-4045
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Travis Schwarz, D.M.D.NPI 1831472414
Title
Owner/Dentist
Phone
(618) 830-0958

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
Dental Clinic/Center 261QD0000X 2011030941 MO Primary

Addresses

Primary practice location

8618 Mexico Rd
O Fallon, MO 63366-7507

Mailing address

8618 Mexico Rd
O Fallon, MO 63366-7507
Phone (636) 205-4045

National Provider Directory

National Provider Directory

Locations

8618 Mexico Rd
O Fallon, MO 63366
Phone (636) 205-4045

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1932565504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 MEXICO RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667507",
            "telephone_number": "636-205-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 MEXICO RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667507",
            "telephone_number": "636-205-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERHEART FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "618-830-0958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2011030941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.