MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.) – General Practice Dentistry, NPI 1912903444

General Practice Dentistry

MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.) is a healthcare provider. based in San antonio, Texas. specializing in General Practice Dentistry. They hold the professional credentials PH.D.,D.D.S.. They hold a License No. 13696 (TX). The NPI Number for MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.) is 1912903444

Main info

Male

Name

MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.)

NPI

1912903444

Phone

(210) 469-3869

Address

430 W LOOP 1604 N

Enumeration Date

21 June 2005

Deactivation Date

21 March 2006

Reactivation Date

28 March 2006

Last Update Date

12 September 2012

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.)

West Loop 1604 North, San Antonio, Bexar County, Texas, 78254, United States
SUITE 109
SAN ANTONIO, TX 782513342
Phone: (210) 469-3869
Fax: (210) 402-0025
Type: Location
430 W.LOOP 1604 NORTH, SUITE 109
SAN ANTONIO, TX 78251
Phone: (210) 647-7447
Fax: (210) 647-7839
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78251)

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Reviews

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Frequently asked questions

Where can patients find MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.)'s NPI?

You can confirm MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.) with NPI 1912903444; it appears in the national provider directory.

Is MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.)'s NPI currently valid?

The extract we use shows MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.) as active.

What kind of provider is MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.)?

The page reflects General Practice Dentistry for MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.). Clinical services aligned with this taxonomy classification.

Where is MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.)'s primary listing?

We display San Antonio, Texas because that is what the record indicates for MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.).

Is MR. RICHARD DOUGLAS TAVERNA (PH.D.,D.D.S.) a real provider?

This page reflects official NPPES data for NPI 1912903444. Always confirm identity and privileges with the practice and licensing boards.