Individual provider Active NPI

Melba L Ortiz-Rivera

  • General Practice Dentistry
  • Brownsville, TX
National Provider Identifier
1063666907
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25271 Issued in TX
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

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
210080206MedicaidTX

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

LicenseStateTypeSpecialty
25271TXMDDentist
DN18510FLMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tara R. Rios, D.D.S., PLLC Dentist CurrentSince Jun 22, 2021 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.

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.

Verify at the official NPI Registry.