River Rock Dental - Lamar PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23496 Issued in TX

Legal business name

RIVER ROCK DENTAL - LAMAR PC

Doing business as

River Rock Dental - Lamar

Practice address

3115 S. Lamar
Austin, TX 78704

Phone

(512) 820-6927

Fax

(512) 462-4782

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jackson Booth, DDSNPI 1891987368

Title

Owner

Phone

(512) 739-9440

Specialties & licenses 1

Addresses

Other names 1

• River Rock Dental - Lamar Doing business as

Practitioners 1

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.

• Jackson Robert Booth, D.D.S.

  • General Practice Dentistry
  • Austin, TX
  • NPI 1891987368
  Authorized official Same address or phone

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1841699907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S IH 35",
            "address_2": "SUITE E-400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481752",
            "telephone_number": "512-820-6927",
            "fax_number": "512-462-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S. LAMAR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-820-6927",
            "fax_number": "512-462-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROCK DENTAL - LAMAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-739-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Rock Dental - Lamar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• River Rock Dental, P.C. (River Rock Dental)
• River Rock Pediatric Dentistry, PC
• Hilary Rivera Alvarado
• Marilyn Rivera Carrasco
• Alma Rosa Rivera Feregrino, MD, MPH

• General Practice Dentistry in Austin, TX
• Providers in Austin, 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 Aug 14, 2014; 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.