Organization Active NPI

Diego E. Rivas DDS PA Corporation

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1457484206
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23643 Issued in TX
Legal business name
DIEGO E. RIVAS DDS PA CORPORATION
Practice address
9820 Huebner Rd
Suite 107
San Antonio, TX 78240-3265
Phone
(210) 697-3500
Fax
(210) 697-3505
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Diego E Rivas, DDSNPI 1952444077
Title
Owner
Phone
(210) 697-3500

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 23643 TX Primary

Addresses

Primary practice location

9820 Huebner Rd
Suite 107
San Antonio, TX 78240-3265

Mailing address

9820 Huebner Rd
Suite 107
San Antonio, TX 78240-3265
Phone (210) 697-3500

Other names 1

  • HUEBNER DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

9820 Huebner Rd
Ste 107
San Antonio, TX 78240
Phone (210) 697-3500

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1457484206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 HUEBNER RD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403265",
            "telephone_number": "210-697-3500",
            "fax_number": "210-697-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 HUEBNER RD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403265",
            "telephone_number": "210-697-3500",
            "fax_number": "210-697-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO E. RIVAS DDS PA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-697-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUEBNER DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.