Individual provider Active NPI

Daniel John Ripperger, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Amarillo, TX
National Provider Identifier
1073136586
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
36789 Issued in TX
Practice address
7473 Pennsylvania Avenue
Suite 300
Amarillo, TX 79119-6405
Phone
(806) 398-7228
NPI assigned
May 19, 2020
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 36789 TX Primary

Addresses

Primary practice location

7473 Pennsylvania Avenue
Suite 300
Amarillo, TX 79119-6405

Mailing address

7473 Pennsylvania Avenue
Suite 300
Amarillo, TX 79119-6405
Phone (806) 398-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 20, 2024 through Nov 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36789TXMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1073136586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 PENNSYLVANIA AVENUE",
            "address_2": "SUITE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-398-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 PENNSYLVANIA AVENUE",
            "address_2": "SUITE 300",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-398-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPERGER",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "36789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.