Avery Ranch Family & Cosmetic Dentistry, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

21373 Issued in TX

Legal business name

AVERY RANCH FAMILY & COSMETIC DENTISTRY, P.A.

Doing business as

Riata Dental

Practice address

12545 Riata Vista Circle Ms 578-Awc
Austin, TX 78727

Phone

(512) 526-5126

Fax

(512) 583-0699

NPI assigned

Feb 12, 2007

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Lowery, DDSNPI 1740454768

Title

President

Phone

(512) 658-1553

Specialties & licenses 3

Addresses

Other names 1

• Riata Dental Doing business as

Locations

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.

• Elizabeth Lavagni Lowery, DDS

  • Dentist
  • Austin, TX
  • NPI 1740454768
  NPD Authorized official
• Natalie Victoria Griffin, D.S.S

  • Dentist
  • Austin, TX
  • NPI 1609030071
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1114068996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 RIATA VISTA CIRCLE MS 578-AWC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "512-526-5126",
            "fax_number": "512-583-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 RIATA VISTA CIRCLE MS 578-AWC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "512-526-5126",
            "fax_number": "512-583-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY RANCH FAMILY & COSMETIC DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-658-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21373",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19588",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riata Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dustin Averitt
• Grace Averitt, D.O.
• Avery Investments of Austin, LLC (Visiting Angels)
• Avery Ranch Dental, PLLC (Avery Ranch Dental)
• Avery Ranch Eye Care, PLLC
• Megan Diane Avery Zellner, LPC
• Ciera Mariah Avery, LPC
• Megan Avery
• Sarah S. Avery, M.D.
• Tressa Avestruz, OTR

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.