Organization Active NPI

Riverstone Dental Associates, PLLC

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1851015804
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Oct 3, 2022

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.