Jose Angel Rivera-Gautier, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

27318 Issued in TX

Practice address

5681 Fairmont Pkwy Ste B
Pasadena, TX 77505-3903

Phone

(281) 998-8800

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Oral Health and Orthodontic PLLC

  • Dentist
  • Houston, TX
  • NPI 1669323267
  NPD (past) Authorized official
• Texas Dental Associates, PA

  • General Practice Dentistry
  • Pasadena, TX
  • NPI 1093935389
  NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1952303687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 AMHERST ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053207",
            "telephone_number": "713-490-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 FAIRMONT PKWY STE B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053903",
            "telephone_number": "281-998-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-GAUTIER",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2321",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison B Richard
• Madison Nichole Richard
• Michael James Richards, FNP
• Ride Guaranteed LLC
• Rise Pediatric Therapy Center LLC
• Geomaris Rivera
• Jasmin I Rivera, BCBA
• Raul A Rivera, MD
• Robert a Barton and Associates
• Robert Nghia Chang DDS PLLC

• Dentist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.