Kristina Rivers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23933 Issued in TX

Practice address

110 E Villa Maria Rd
Bryan, TX 77801-3147

Phone

(979) 779-6146

NPI assigned

Aug 4, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellaire Dental Suite PLLC

  • Dentist
  • Bellaire, TX
  • NPI 1992586234
  NPD Authorized official
• Rivers Family Dentistry, PLLC

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1912316456
  NPD (past) Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1740411016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E VILLA MARIA RD",
            "address_2": "STE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013147",
            "telephone_number": "979-779-6146",
            "fax_number": "979-779-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013147",
            "telephone_number": "979-779-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "KRISTINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038713-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Riley
• Megan Elissa Riley
• Ashley Halbert Risner, OD
• Mandy Jenkins Rispoli, PHD, BCBA-D
• Rivers Family Dentistry, PLLC
• Aaron Riviere, RD, LDN
• Rjmtz Pharmacy LLC
• Susan Gilcrease Roberman, M.D.
• Laura Roberts, PT
• August Robertson, M.S., LPC-A

• General Practice Dentistry in Bryan, TX
• Providers in Bryan, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.