OrganizationActive
Rafael Rivera, Jr., DDS, PLLC
NPI 1164690400 · Dentist · Winston Salem, NC
Rafael Rivera, Jr., DDS, PLLC is a Dentist organization in Winston Salem, NC (NPI 1164690400).
Provider details
- NPI number
- 1164690400
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Maureen Shiroma, Director of Office Managers(336) 747-1523
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147
Phone: (336) 777-1272
Fax: (336) 777-1196
Street-level locationGet directions
Mailing address
Po Box 26394
Winston Salem, NC 27114-6394
Other names (DBA / former)
- Doing business as
- Smile Starters
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Frequently asked questions
- What is Rafael Rivera, Jr., DDS, PLLC's NPI number?
- Rafael Rivera, Jr., DDS, PLLC's National Provider Identifier (NPI) is 1164690400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rafael Rivera, Jr., DDS, PLLC?
- Rafael Rivera, Jr., DDS, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Rafael Rivera, Jr., DDS, PLLC located?
- Rafael Rivera, Jr., DDS, PLLC's practice location on file with NPPES is 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147.
- What is Rafael Rivera, Jr., DDS, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Rafael Rivera, Jr., DDS, PLLC is (336) 777-1272.
- Who is the authorized official for Rafael Rivera, Jr., DDS, PLLC?
- The authorized official listed on Rafael Rivera, Jr., DDS, PLLC's NPPES record is Maureen Shiroma, Director of Office Managers. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rafael Rivera, Jr., DDS, PLLC's NPI active?
- Yes — Rafael Rivera, Jr., DDS, PLLC's NPI (1164690400) is active in the NPPES registry as of the last update on 2024-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.