Organization Active NPI

The Riverfront Denist, LTD

  • General Practice Dentistry
  • West Bend, WI
National Provider Identifier
1982983714
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5506 Issued in WI
Legal business name
THE RIVERFRONT DENIST, LTD
Practice address
1542 Barton Ave
West Bend, WI 53090-1902
Phone
(262) 306-9703
NPI assigned
Aug 10, 2011
Last updated
Aug 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Anna C Bell, DDS
Title
Owner/Dentist
Phone
(262) 306-9703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5506 WI Primary

Addresses

Primary practice location

1542 Barton Ave
West Bend, WI 53090-1902

Mailing address

1542 Barton Ave
West Bend, WI 53090-1902

National Provider Directory

National Provider Directory

Locations

1542 Barton Ave
West Bend, WI 53090
Phone (262) 306-9703

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1982983714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 BARTON AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 BARTON AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530901902",
            "telephone_number": "262-306-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVERFRONT DENIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "262-306-9703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.