MR. RICHARD DOUGLAS TAVERNA PH.D.,D.D.S.
NPI 1912903444
Dentist - General Practice in San Antonio, TX

Active since June 21, 2005
430 W LOOP 1604 N, SUITE 109, SAN ANTONIO, TX 78251(210) 469-3869(210) 402-0025 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Richard Douglas Taverna Ph.d.,d.d.s. NPPES

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

MR. RICHARD DOUGLAS TAVERNA PH.D.,D.D.S. (NPI 1912903444) is an individual general practice provider in San Antonio, Texas, licensed in Texas (13696) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1912903444
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. RICHARD DOUGLAS TAVERNACredential: PH.D.,D.D.S.
Location Address430 W LOOP 1604 N, SUITE 109San Antonio, TX 78251-3342
Mailing Address430 W.loop 1604 North, Suite 109San Antonio, TX 78251 · (210) 647-7447 · Fax (210) 647-7839
Fax(210) 402-0025
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateSeptember 12, 2012
NPI 1912903444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 13696
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

430 W LOOP 1604 N, San Antonio, TX 78251

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
430 W LOOP 1604 N, STE 109
SAN ANTONIO, TX 78251

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 Richard Taverna's NPI number?

The NPI number for Richard Taverna is 1912903444. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Richard Taverna located?

Richard Taverna practices at 430 W Loop 1604 N Suite 109, San Antonio, TX 78251. The listed phone number is (210) 469-3869.

What is Richard Taverna's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Richard Taverna was last updated on September 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.