NPIMap

Organization Active NPI

Riverview Dental PLLC

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1942919139
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RIVERVIEW DENTAL PLLC
Practice address
1175 E Parkcenter Blvd Ste 101
Boise, ID 83706-6752
Phone
(208) 888-5544
NPI assigned
Nov 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERVIEW DENTAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Quinn Brown, DMDNPI 1659632529
Title
Owner
Phone
(208) 571-5678

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 NU Primary

Addresses

Primary practice location

1175 E Parkcenter Blvd Ste 101
Boise, ID 83706-6752

Mailing address

1175 E Parkcenter Blvd Ste 101
Boise, ID 83706-6752
Phone (208) 888-5544

Other practice location 1

1331 S Five Mile Rd
Boise, ID 83709-1306
Phone (208) 375-3754

National Provider Directory

National Provider Directory
Tax ID family
Riverview Dental South PLLC2 organizations share this tax ID, including this one
Part of
Riverview Dental South PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1942919139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E PARKCENTER BLVD STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066752",
            "telephone_number": "208-888-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E PARKCENTER BLVD STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066752",
            "telephone_number": "208-888-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091306",
            "country_code": "US",
            "telephone_number": "208-375-3754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERVIEW DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERVIEW DENTAL PLLC",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-571-5678",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.