Organization Active NPI

Riverside Austin Dental PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1013471945
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVERSIDE AUSTIN DENTAL PLLC
Practice address
4410 E Riverside Dr Ste 150
Austin, TX 78741-4759
Phone
(512) 385-4700
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Shahrzad Embry
Title
Owner/Dentist
Phone
(512) 385-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4410 E Riverside Dr Ste 150
Austin, TX 78741-4759

Mailing address

4410 E Riverside Dr Ste 150
Austin, TX 78741-4759
Phone (512) 385-4700

Other names 2

  • River Park Cosmetic & Implant Dentistry Doing business as
  • River Rock Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1013471945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 E RIVERSIDE DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787414759",
            "telephone_number": "512-385-4700",
            "fax_number": "512-389-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 E RIVERSIDE DR STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787414759",
            "telephone_number": "512-385-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE AUSTIN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-385-4700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Park Cosmetic & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Rock Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.