1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Dentist
  6. NPI Profile

RIVERSIDE PRACTICE, LLC
NPI 1679062020
Dentist - Oral and Maxillofacial Surgery in Austin, TX

Active since May 01, 2018
2410 E RIVERSIDE DR STE H12, AUSTIN, TX 78741(512) 442-1224 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, May 1, 2018 (2 updates tracked since 2018).

About Riverside Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE PRACTICE, LLC (NPI 1679062020) is a healthcare organization registered as an oral and maxillofacial surgery in Austin, Texas and active in the NPI registry since May 2018. The organization lists Asha Patel, President, as its authorized official.

NPPES Registry Identity

NPI1679062020
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameRIVERSIDE PRACTICE, LLC
Location Address2410 E RIVERSIDE DR STE H12Austin, TX 78741-3054
Mailing Address12613 Scofield Farms DrAustin, TX 78727-4542 · (225) 802-9534
Phone(512) 442-1224
Organization SubpartNo
Authorized OfficialAsha PatelPresident · (225) 802-9534
Enumeration DateMay 1, 2018
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1679062020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2410 E RIVERSIDE DR STE H12, Austin, TX 78741
Open in Google Maps ↗

Other Identifiers 1

Medicaid195206120TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Practice, LLC's NPI number?

The NPI number for Riverside Practice, LLC is 1679062020. It was assigned to this organization in the NPPES registry on May 1, 2018.

Where is Riverside Practice, LLC located?

Riverside Practice, LLC is located at 2410 E Riverside Dr Ste H12, Austin, TX 78741. The listed phone number is (512) 442-1224.

What is Riverside Practice, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Riverside Practice, LLC was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.