Rivers Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23933 Issued in TX

Legal business name

RIVERS FAMILY DENTISTRY, PLLC

Practice address

110 E Villa Maria Rd
Suite a
Bryan, TX 77801-3147

Phone

(979) 779-6146

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Kristina RiversNPI 1740411016

Title

President

Phone

(979) 779-6146

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Rivers, DDS

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1740411016
  NPD (past) Authorized official

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1912316456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709C VASSAR CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402142",
            "telephone_number": "817-925-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E VILLA MARIA RD",
            "address_2": "SUITE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778013147",
            "telephone_number": "979-779-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-779-6146"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740411016",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste A Riley, PH.D.
• Erin Riley
• Megan Elissa Riley
• Ashley Halbert Risner, OD
• Mandy Jenkins Rispoli, PHD, BCBA-D
• Kristina Rivers, DDS
• Aaron Riviere, RD, LDN
• Rjmtz Pharmacy LLC
• Susan Gilcrease Roberman, M.D.
• Laura Roberts, PT

• General Practice Dentistry in Bryan, TX
• Providers in Bryan, 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 8, 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.