Organization Active NPI

Melissa Rivera DDS PA

  • Dentist
  • San Juan, TX
National Provider Identifier
1093044539
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MELISSA RIVERA DDS PA
Practice address
4500 N Raul Longoria Street
San Juan, TX 78589
Phone
(956) 787-9866
Fax
(956) 787-8588
NPI assigned
Dec 11, 2009
Last updated
Mar 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Melissa RiveraNPI 1568522266
Title
Dentist
Phone
(956) 787-9866

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

4500 N Raul Longoria Street
San Juan, TX 78589

Mailing address

4500 N Raul Longoria
PO Box 186
San Juan, TX 78589-0186
Phone (956) 787-9866

National Provider Directory

National Provider Directory

Locations

4500 N Raul Longoria Rd
San Juan, TX 78589
Phone (956) 787-9866

Practitioners & affiliated clinicians

Practitioners 2

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1093044539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N RAUL LONGORIA",
            "address_2": "PO BOX 186",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785890186",
            "telephone_number": "956-787-9866",
            "fax_number": "956-787-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N RAUL LONGORIA STREET",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-787-9866",
            "fax_number": "956-787-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA RIVERA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-787-9866"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.