Organization Active NPI

Rivera & Associates, P.a.

  • Dental Clinic/Center
  • Mooresville, NC
National Provider Identifier
1033566039
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6870 Issued in NC
Legal business name
RIVERA & ASSOCIATES, P.A.
Practice address
400 E Statesville Ave
Mooresville, NC 28115-2581
Phone
(704) 816-1401
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Rafael Rivera Jr., D.D.S.NPI 1013912427
Title
President
Phone
(704) 816-1401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6870 NC Primary

Addresses

Primary practice location

400 E Statesville Ave
Mooresville, NC 28115-2581

Mailing address

1538 Union Rd Ste a
Gastonia, NC 28054-2205
Phone (704) 816-1401

National Provider Directory

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

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1033566039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542205",
            "telephone_number": "704-816-1401",
            "fax_number": "704-398-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152581",
            "telephone_number": "704-816-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-816-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.