Organization Active NPI

Rivera & Associates, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, NC
National Provider Identifier
1023993292
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RIVERA & ASSOCIATES, P.A.
Doing business as
Wiry Smiles
Practice address
2520 N College Rd
Wilmington, NC 28405-8808
Phone
(910) 790-3836
Fax
(910) 790-5026
NPI assigned
Aug 7, 2025
Organization subpart
Yes
Parent organization
RIVERA & ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Ryan Patrick Root
Title
President of Business Operations
Phone
(704) 816-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2520 N College Rd
Wilmington, NC 28405-8808

Mailing address

3340 Robinwood Road
PMB 100-406
Gastonia, NC 28054
Phone (719) 406-2921

Other names 1

  • Wiry Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rivera Associates PA4 organizations share this tax ID, including this one
Part of
Rivera Associates PA

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1023993292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 ROBINWOOD ROAD",
            "address_2": "PMB 100-406",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "719-406-2921",
            "fax_number": "704-398-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058808",
            "telephone_number": "910-790-3836",
            "fax_number": "910-790-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA & ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERA & ASSOCIATES, P.A.",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "704-816-1401"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiry Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.