Active NPI
Melba L Ortiz-Rivera
- General Practice Dentistry
- Brownsville, TX
National Provider Identifier
1063666907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25271
- Practice address
- 1205 E Alton Gloor Blvd
Brownsville, TX 78526-3831 - Phone
- (956) 542-1956
- Fax
- (956) 542-3672
- NPI assigned
- Nov 5, 2008
- 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 | 25271 | TX | |
| Public Health Dentistry | 1223D0001X | DN18510 | FL | |
| General Practice Dentistry | 1223G0001X | 25271 | TX | Primary |
Addresses
Primary practice location
1205 E Alton Gloor Blvd
Brownsville, TX 78526-3831
Mailing address
1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170
Other practice location 1
1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170 ext. 105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210080206 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25271 | TX | MD | Dentist |
| DN18510 | FL | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tara R. Rios, D.D.S., PLLC | Dentist | Current | Accepting new patients |
Locations
1205 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 542-1956
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Brownsville, TX
- NPI 1447418520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1063666907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 W WASHINGTON ST",
"city": "MONTICELLO",
"state": "FL",
"postal_code": "323441128",
"telephone_number": "850-342-0170",
"fax_number": "850-342-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 E ALTON GLOOR BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263831",
"telephone_number": "956-542-1956",
"fax_number": "956-542-3672"
}
],
"practiceLocations": [
{
"address_1": "1255 W Washington St",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "FL",
"postal_code": "323441128",
"country_code": "US",
"telephone_number": "850-342-0170 x105",
"fax_number": "850-342-0257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ-RIVERA",
"first_name": "MELBA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25271",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "DN18510",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210080206",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.