Organization Active NPI

Ronald K. Risinger, DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Port Arthur, TX
National Provider Identifier
1053539338
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
15661 Issued in TX
Legal business name
RONALD K. RISINGER, DDS, MS, PC
Practice address
7900 Medical Center Blvd
Port Arthur, TX 77640-2425
Phone
(409) 729-2371
Fax
(409) 729-2729
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Dr. Ronald Keith Risinger, DDS, MSNPI 1376760819
Title
Orthodontist
Phone
(409) 729-2371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 15661 TX Primary

Addresses

Primary practice location

7900 Medical Center Blvd
Port Arthur, TX 77640-2425

Mailing address

7900 Medical Center Blvd
Port Arthur, TX 77640-2425
Phone (409) 729-2371

Other identifiers 1

IdentifierTypeStateIssuer
15661OtherTXDENTAL LICENSE

Other names 1

  • Gulf Coast Orthodontic Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ronald K Risinger DDS Ms PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7900 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 729-2371

8445 Memorial Blvd
Ste 400
Port Arthur, TX 77640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1053539338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 MEDICAL CENTER BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402425",
            "telephone_number": "409-729-2371",
            "fax_number": "409-729-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 MEDICAL CENTER BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402425",
            "telephone_number": "409-729-2371",
            "fax_number": "409-729-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD K. RISINGER, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "RISINGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "409-729-2371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "15661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "15661",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.