Rising Stars PD Marble Falls, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RISING STARS PD MARBLE FALLS, PLLC

Practice address

608 Gateway Central Ste 201
Marble Falls, TX 78654-6356

Phone

(830) 693-7044

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Serenthes Fields

Title

Credentialing Specialist

Phone

(407) 684-3738

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1053194506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GATEWAY CENTRAL STE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546356",
            "telephone_number": "830-693-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GATEWAY CENTRAL STE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546356",
            "telephone_number": "830-693-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS PD MARBLE FALLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "SERENTHES",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "407-684-3738"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa K Ramirez, PAC
• Anna Kristina Ramos, PT
• Shawn Padira Reddy, M.D.
• Mary Mercedes Richards
• Rising Stars Ortho Marble Falls, PLLC
• Rita Pickering, Incorporated
• Ritchie Dental Group, P.a.
• Gregory Aaron Ritchie, DDS
• Mendy D'Lyn Ritchie, DDS
• River Phoenix Health LLC (Home Instead)

• Pediatric Dentistry in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.