Organization Active NPI

Gioconda Rivera DDS, PC

  • Dentist
  • Houston, TX
National Provider Identifier
1376793018
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17256 Issued in TX
Legal business name
GIOCONDA RIVERA DDS, PC
Practice address
708 FM 1960 West
Houston, TX 77090
Phone
(281) 895-7070
Fax
(281) 895-7171
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Gioconda Rivera, DDSNPI 1952404485
Title
President
Phone
(281) 895-7070

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17256 TX Primary

Addresses

Primary practice location

708 FM 1960 West
Houston, TX 77090

Mailing address

708 FM 1960 West
Houston, TX 77090
Phone (281) 895-7070

Other names 1

  • TLC Dental Other name

National Provider Directory

National Provider Directory

Locations

708 FM 1960 Rd W
Houston, TX 77090
Phone (281) 895-7070

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": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1376793018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-895-7070",
            "fax_number": "281-895-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-895-7070",
            "fax_number": "281-895-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIOCONDA RIVERA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GIOCONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-895-7070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.