OrganizationActive
Riverside Practice, LLC
NPI 1679062020 · Oral and Maxillofacial Surgery (Dentist) · Austin, TX
Provider details
- NPI number
- 1679062020
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Asha Patel, President(225) 802-9534
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2410 E Riverside Dr Ste H12
Austin, TX 78741-3054
Phone: (512) 442-1224
Street-level locationGet directions
Mailing address
12613 Scofield Farms Dr
Austin, TX 78727-4542
Registry dates
- Enumerated
- 2018-05-01
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.