Active NPI
Riverstone Dental Associates, PLLC
- Dentist
- Sugar Land, TX
National Provider Identifier
1851015804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- RIVERSTONE DENTAL ASSOCIATES, PLLC
- Practice address
- 18718 University Blvd
Sugar Land, TX 77479-4346 - Phone
- (281) 207-0790
- Fax
- (281) 207-0789
- NPI assigned
- Oct 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Martinez
- Title
- Regional Manager
- Phone
- (281) 554-9090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
18718 University Blvd
Sugar Land, TX 77479-4346
Mailing address
2750 W Main St Ste D
League City, TX 77573-1830
Phone (281) 554-9090
Other names 1
- The Airway Dentist
National Provider Directory
National Provider DirectoryLocations
18718 University Blvd
Sugar Land, TX 77479
Phone (281) 207-0790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1851015804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 W MAIN ST STE D",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775731830",
"telephone_number": "281-554-9090",
"fax_number": "281-554-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18718 UNIVERSITY BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794346",
"telephone_number": "281-207-0790",
"fax_number": "281-207-0789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSTONE DENTAL ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "281-554-9090"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Airway Dentist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.