Rivercrest Family Dental, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

21504 Issued in TX

Legal business name

RIVERCREST FAMILY DENTAL, P.A.

Practice address

3029 Independence Dr Ste 100
New Braunfels, TX 78132-4474

Phone

(830) 625-7611

NPI assigned

Apr 29, 2008

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Scott BarberNPI 1922217439

Title

President

Phone

(830) 625-7611

Specialties & licenses 2

Addresses

Locations

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.

• Justin Scott Barber, D.D.S.

  • Dentist
  • New Braunfels, TX
  • NPI 1922217439
  NPD Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1437324589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 INDEPENDENCE DR STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324474",
            "telephone_number": "830-625-7611",
            "fax_number": "830-625-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 INDEPENDENCE DR STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324474",
            "telephone_number": "830-625-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCREST FAMILY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-625-7611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21504",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "8451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misael Rivera Pagan, LPC-A, NCC, LCDC-I
• Myra Y Rivera, PHARMD
• Ruben Rivera, COTA
• Sitlaly Anahi Rivera
• Riverbend Counseling PLLC
• Riverside Counseling Center, PLLC (Ellie Mental Health)
• Riverside ER LLC
• Elizabeth Aadland Roark, FNP-BC
• William Chad Roasa, PA-C
• Julie Eileen Roat, FNP-C

• Dentist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.