Organization Active NPI

Jr Mata Dentistry PC

  • Pediatric Dentistry
  • Richmond, TX
National Provider Identifier
1215879028
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JR MATA DENTISTRY PC
Practice address
16733 W Airport Blvd Ste 260
Richmond, TX 77407-5090
Phone
(713) 360-0850
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Jennifer Mata, DDSNPI 1780893552
Title
Pediatric Dentist
Phone
(281) 787-1866

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

16733 W Airport Blvd Ste 260
Richmond, TX 77407-5090

Mailing address

4335 Millers Creek CT
Richmond, TX 77406-7942
Phone (281) 787-1866

National Provider Directory

National Provider Directory

Locations

16733 W Airport Blvd
Ste 260
Richmond, TX 77407
Phone (713) 360-0850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1215879028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 MILLERS CREEK CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067942",
            "telephone_number": "281-787-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16733 W AIRPORT BLVD STE 260",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075090",
            "telephone_number": "713-360-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR MATA DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "281-787-1866",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.