Organization Active NPI

Rivera & Associates, P.a.

  • Clinic/Center
  • Salisbury, NC
National Provider Identifier
1275229296
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RIVERA & ASSOCIATES, P.A.
Doing business as
Wiry Smiles
Practice address
1819 Brenner Ave
Salisbury, NC 28144-2519
Phone
(704) 944-0550
NPI assigned
Apr 13, 2023
Organization subpart
Yes
Parent organization
RIVERA & ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mr. Ryan Patrick Root
Title
President of Business Operations
Phone
(719) 406-2921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1819 Brenner Ave
Salisbury, NC 28144-2519

Mailing address

3340 Robinwood Rd Ste 100-406
Gastonia, NC 28054-6689
Phone (719) 406-2921

Other names 1

  • Wiry Smiles Doing business as

National Provider Directory

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

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1275229296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 ROBINWOOD RD STE 100-406",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546689",
            "telephone_number": "719-406-2921",
            "fax_number": "704-398-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BRENNER AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442519",
            "telephone_number": "704-944-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA & ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERA & ASSOCIATES, P.A.",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "719-406-2921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiry Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.