Active NPI
Luisa Noemi Rios, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Dallas, TX
National Provider Identifier
1043625569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 30010
- Practice address
- 3302 Gaston Ave
Dallas, TX 75246-2013 - Phone
- (214) 828-8445
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30010 | TX | |
| Surgery Physician | 208600000X | BP10060738 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 30010 | TX | Primary |
Addresses
Primary practice location
3302 Gaston Ave
Dallas, TX 75246-2013
Mailing address
3302 Gaston Ave
Dallas, TX 75246-2013
Phone (214) 820-8445
Other practice location 1
1313 Broadway
Suite 5
Lubbock, TX 79401-3277
Phone (806) 765-2605 ext. 1005
Other names 1
- Miss Luisa Noemi Campos Aramburo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 1, 2023 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30010 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| BP10060738 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1043625569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462013",
"telephone_number": "214-820-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462013",
"telephone_number": "214-828-8445"
}
],
"practiceLocations": [
{
"address_1": "1313 Broadway",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794013277",
"country_code": "US",
"telephone_number": "806-765-2605 x1005",
"fax_number": "806-687-5957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIOS",
"first_name": "LUISA",
"middle_name": "NOEMI",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30010",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10060738",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "30010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUISA",
"last_name": "CAMPOS ARAMBURO",
"middle_name": "NOEMI",
"prefix": "MISS",
"credential": "DDS, MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.