Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548728728 Individual Practitioner Female Practitioner

Dr. Keyshla Yari Escobar Rivera , DMD

Dentist - General Practice • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Dr. Keyshla Escobar Rivera, DMD is a registered healthcare professional specializing in Dentist - General Practice in Conroe, TX. Practice services are available at 1317 W DAVIS ST STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1317 W Davis St Ste D

Conroe, TX 773042334

Telephone 9367602400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
71 Specialists

Practicing in Conroe, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 36113

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

111 E 210th St

Bronx, NY 104672401

Phone: 8006366683

25114 Grogans Mill Rd Ste D

Spring, TX 773802360

Phone: 2812967600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sara Abedini

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1063937613
Karona Tum

Dentist - Prosthodontics

NPI 1083026181
Dr. Garry Radford , DDS

Dentist - Pediatric Dentistry

NPI 1326153438

Doctor of Dental Surgery

Dr. Herbert Mills , DDS

Dentist - General Practice

NPI 1457420705

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 11, 2021

Registered at 1317 W DAVIS ST STE D, CONROE, TX 773042334 (Tel: 9367602400)

👤
Provider Name / Credentials Updated June 11, 2021

Recorded as KEYSHLA ESCOBAR RIVERA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2021

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location May 04, 2021

Registered at 25114 GROGANS MILL RD STE D, SPRING, TX 773802360 (Tel: 2812967600)

📍
Updated Business Mailing Address July 16, 2020

Registered at 3203 DEEP RIVER CT, HUMBLE, TX 773393621 (Tel: 7872447727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2020

Dentist (License #36113 in TX)

NPI Profile Active March 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2019

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 8006366683)

📍
Updated Business Mailing Address March 07, 2019

Registered at 111 E 210TH ST, BRONX, NY 104672401

👤
Provider Name / Credentials Updated March 07, 2019

Recorded as KEYSHLA ESCOBAR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548728728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2019
Last Update: June 11, 2021
Sole Proprietor: Yes

Mailing Address

3203 Deep River Ct

Humble, TX 773393621

Phone: 7872447727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.