RIATA VALLEY DENTAL GROUP (NPI# 1669949582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669949582 |
| Entity Type | Organization |
| Organization Name | RIATA VALLEY DENTAL GROUP |
| Practice Address |
1111 Riata Valley Rd Ste 350 Kingman AZ 86409-3719 |
| Mailing Address |
1720 E Beverly Ave Kingman AZ 86409-3567 |
| Practice Telephone | 9287579190 |
| Mailing Telephone | 9287535069 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | LEIGHANN SAMSON (MANAGER) |
| Authorized Official Telephone | 9287535069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1111 RIATA VALLEY RD STE 350 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184282253 | Hongha Nguyen | Dentist | 1848 Hope Ave Ste 2, Kingman, AZ 86401-4190 | 2019-06-03 |
| 1740649342 | Terry W Greenstein Dds LLC | Dentist | 126 W B Ave, Kingman, KS 67068-1309 | 2016-02-11 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1225274087 | Kids Little Smiles Dentistry | Dentist | 2202 Hualapai Mountain Rd Ste 201, Kingman, AZ 86401-8337 | 2008-12-29 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1821166760 | Barry J Uldrikson | Dentist | 1101 Riata Valley Rd., Kingman, AZ 86409 | 2006-11-30 |
| 1750469441 | Keith Wayne Hodgkin | Dentist | 5218 Stockton Hill Rd, Kingman, AZ 86409-1042 | 2006-11-01 |
| 1912010216 | Jerald D Wienke | Dentist | 411 Grandview Ave, Kingman, AZ 86401-5745 | 2006-08-17 |
| 1124034251 | Robert Anderson | Dentist | 3775 Stockton Hill Rd Ste C, Kingman, AZ 86409 | 2006-07-31 |
| 1679592695 | Jason W Lowry | Dentist | 1730 E Beverly Ave, Kingman, AZ 86409-3500 | 2006-07-19 |
| Find all providers in KINGMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.