Riverside Practice, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RIVERSIDE PRACTICE, LLC

Practice address

2410 E Riverside Dr Ste H12
Austin, TX 78741-3054

Phone

(512) 442-1224

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Asha Patel, DDSNPI 1255581278

Title

President

Phone

(225) 802-9534

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asha Patel, DDS

  • Pediatric Dentistry
  • Bryan, TX
  • NPI 1255581278
  NPD Authorized official

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1679062020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12613 SCOFIELD FARMS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274542",
            "telephone_number": "225-802-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E RIVERSIDE DR STE H12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413054",
            "telephone_number": "512-442-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-802-9534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195206120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rivers Krueger Audiology LLC
• Michal Shvartz Rivers, BCBA
• Paula Rivers, M.S.
• Riverside Austin Dental PLLC
• Riverside Austin Emergency Center, LLC
• Riverside SCC LLC
• Deborah Lindsey Riverstar, FNP-BC, RN
• Alain Rives, PT
• Cynthia Reagan Rives
• Tina Rix, LMFT

• Oral and Maxillofacial Surgery (Dentist) in Austin, TX
• Providers in Austin, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.