River Dental Siloam Springs, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIVER DENTAL SILOAM SPRINGS, PLLC

Practice address

3105 Highway 412 E
Siloam Springs, AR 72761-8635

Phone

(479) 250-0949

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Creed Cardon

Title

Owner

Phone

(918) 998-0996

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1942807144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 HIGHWAY 412 E",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618635",
            "telephone_number": "479-250-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER DENTAL SILOAM SPRINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attrice Richards
• Lauren Richardson, MS, LAC
• Taryn Ridley
• Heidi Noelle Rippy, M.S.,CCC-SLP
• Sadie M Rivas
• Wyatt Van Robbins
• Taylor Roberson, MED, EDS, LPC
• Roberts-Philpott Eye Associates, PA
• Abby Roberts, FNP-C
• Bob Gene Roberts, OD

• Dental Clinic/Center in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.