Landon Jay Rencher, D.D.S., P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LANDON JAY RENCHER, D.D.S., P.L.L.C.

Doing business as

Riverside Dental Clinic

Practice address

34705 N Newport Hwy Ste B
Chattaroy, WA 99003-7811

Phone

(509) 292-2211

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By 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

Dr. Landon J Rencher, DDSNPI 1639453830

Title

Dentist

Phone

(801) 859-2569

Specialties & licenses 1

Addresses

Other names 1

• Riverside Dental Clinic Doing business as

Locations

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.

• Landon Jay Rencher, D.D.S.

  • Dentist
  • Spokane, WA
  • NPI 1639453830
  Authorized official Same address or phone

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1982069290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34705 N NEWPORT HWY STE B",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990037811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34705 N NEWPORT HWY STE B",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990037811",
            "telephone_number": "509-292-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDON JAY RENCHER, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "RENCHER",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-859-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Jean Dixon, RPT
• Curtis Hunter, DPT
• Octavia Jackson
• Janice E Lafountaine (Collaborating Wellness)
• Janice E Lafountaine, LMFT
• Cassie Ledbetter
• Jamie L Macpherson, MSN, ARNP, CPNP-PC
• Rob Mildes, P.T.
• Nathan P Stime MD Riverside Medical-Dental Clinic
• Jereme J Nelson, PTA

• General Practice Dentistry in Chattaroy, WA
• Providers in Chattaroy, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.