NPIMap

Organization Active NPI

Rafael Rivera, Jr., DDS, PLLC

Doing business as SmileStarters

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1740459650
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
2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147
Phone
(336) 777-1272
Fax
(336) 777-1196
NPI assigned
Feb 25, 2008
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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147

Mailing address

2211 Executive St
Suite E
Charlotte, NC 28208-3661
Phone (704) 395-6000

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

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": "1740459650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EXECUTIVE ST",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083661",
            "telephone_number": "704-395-6000",
            "fax_number": "704-395-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035147",
            "telephone_number": "336-777-1272",
            "fax_number": "336-777-1196"
        }
    ],
    "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileStarters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, 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.