Organization Active NPI

Riverview Dental

  • General Practice Dentistry
  • Willimantic, CT
National Provider Identifier
1942085873
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVERVIEW DENTAL
Practice address
720 Main St Ste 2
Willimantic, CT 06226-2648
Phone
(860) 423-5518
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Amandeep SinghNPI 1902312002
Title
Dentist/Owner
Phone
(347) 744-5821

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

720 Main St Ste 2
Willimantic, CT 06226-2648

Mailing address

720 Main St Ste 2
Willimantic, CT 06226-2648
Phone (860) 423-5518

Other names 1

  • willimantic smiles Former legal business name

National Provider Directory

National Provider Directory

Locations

720 Main St
Ste 2
Willimantic, CT 06226
Phone (860) 423-5518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1942085873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST STE 2",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262648",
            "telephone_number": "860-423-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST STE 2",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262648",
            "telephone_number": "860-423-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "347-744-5821",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "willimantic smiles",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "willimantic smiles",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.