Organization Active NPI

Keysmiles LLC

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1396604062
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEYSMILES LLC
Practice address
601 River Pointe Dr Ste 110
Conroe, TX 77304-2943
Phone
(936) 494-0054
NPI assigned
Jan 19, 2026
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Keyshla Yari Escobar Rivera, DMDNPI 1548728728
Title
Dentist
Phone
(787) 244-7727

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

601 River Pointe Dr Ste 110
Conroe, TX 77304-2943

Mailing address

601 River Pointe Dr Ste 110
Conroe, TX 77304-2943
Phone (936) 494-0054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1396604062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-494-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-494-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR RIVERA",
        "authorized_official_first_name": "KEYSHLA",
        "authorized_official_middle_name": "YARI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-244-7727",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.