NPIMap

Organization Active NPI

Rafael Rivera, Jr., DDS, PLLC

Doing business as SmileStarters

  • Dentist
  • Raleigh, NC
National Provider Identifier
1700055613
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RAFAEL RIVERA, JR., DDS, PLLC
Doing business as
SmileStarters
Practice address
3212 S Wilmington St
Raleigh, NC 27603-3538
Phone
(919) 773-3002
Fax
(919) 773-8824
NPI assigned
Feb 25, 2008
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mrs. Maureen Shiroma
Title
Director of Office Managers
Phone
(336) 747-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3212 S Wilmington St
Raleigh, NC 27603-3538

Mailing address

PO Box 26394
Winston Salem, NC 27114-6394
Phone (704) 816-1401

Other names 1

  • SmileStarters Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rafael Rivera Jr DDS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2211 Executive St
Ste E
Charlotte, NC 28208
Phone (704) 395-6000

Practitioners & affiliated clinicians

Practitioners 4

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1700055613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26394",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271146394",
            "telephone_number": "704-816-1401",
            "fax_number": "704-398-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 S WILMINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033538",
            "telephone_number": "919-773-3002",
            "fax_number": "919-773-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL RIVERA, JR., DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "SHIROMA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DIRECTOR OF OFFICE MANAGERS",
        "authorized_official_telephone_number": "336-747-1523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileStarters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.