Judith Christine Ris, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE7055 Issued in WA

Practice address

1706 West Main Street
Suite 117
Battle Ground, WA 98604

Phone

(360) 666-8366

Fax

(360) 666-7848

NPI assigned

Aug 12, 2006

Last updated

Apr 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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 Oct 26, 2014 through Oct 26, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Judy S Fu DMD PLLC

  dba Daybreak Dental

  • Dental Clinic/Center
  • Battle Ground, WA
  • NPI 1043718208
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1093727810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 WEST MAIN STREET",
            "address_2": "SUITE 117",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "98604",
            "telephone_number": "360-666-8366",
            "fax_number": "360-666-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 WEST MAIN STREET",
            "address_2": "SUITE 117",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "98604",
            "telephone_number": "360-666-8366",
            "fax_number": "360-666-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIS",
        "first_name": "JUDITH",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE7055",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D5989",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI HEALTH PLAN",
            "identifier": "791082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Lynn Reeve, MSW, LSWAIC
• Sara Reid, FNP
• Jack Melvin Richard, DDS
• Lisa Annette Richardson, LPN
• Andrew Ren Ringnalda, D.M.D.
• Lupita Elaine Rivera-Jones
• Robert S Croft, DDS, Ms, PC
• Brenda Diane Roberts, M.D.
• Katelyn Rose Robinson, LMT
• Nohemi Del Socorro Robles Hernandez, LPC

• Dentist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.