RK Dental Partners PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RK DENTAL PARTNERS PLLC

Practice address

3414 Roosevelt Ave
San Antonio, TX 78214-2606

Phone

(646) 907-8057

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Sumit Gogna

Title

Owner

Phone

(646) 907-8057

Specialties & licenses 1

Addresses

Other names 2

• Palm Heights Family Dental Doing business as
• Roosevelt Family Dental and Implants Doing business as

Locations

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1194371583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606",
            "telephone_number": "646-907-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 S Panam Expy Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782252341",
            "country_code": "US",
            "telephone_number": "646-907-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RK DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "GOGNA",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-907-8057"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Heights Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roosevelt Family Dental and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael L Rizzo, FNP
• Therese Rizzo, FNP
• RJ Meridian Care Alta Vista LLC
• RJ Meridian Care of San Antonio III LLC
• RJ Meridian Care of San Antonio LTD
• Rkoushikmd, PLLC
• Rllad Group Inc
• Rmda, LLC D/B/a Benjamin Hair & Co.
• RMR Healthcare San Antonio, LLC
• RMR Healthcare San Antonio, LLC

• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.