NPIMap

Organization Active NPI

Rafael Rivera, Jr, DDS, PLLC

  • Dentist
  • Hickory, NC
National Provider Identifier
1841583176
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
Practice address
655 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4133
Phone
(828) 469-3000
Fax
(828) 469-2392
NPI assigned
May 19, 2011
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

655 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4133

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

508 10th St NW
Conover, NC 28613
Phone (828) 464-0181

655 Lenoir Rhyne Blvd SE
Hickory, NC 28602
Phone (828) 469-3000

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1841583176",
    "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": "655 LENOIR RHYNE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024133",
            "telephone_number": "828-469-3000",
            "fax_number": "828-469-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL RIVERA, JR, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "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"
        },
        {
            "organization_name": "SmileStarters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, 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.