Individual provider Active NPI

Candice Renee Rios, MA, AREOLA ARTIST

  • Medical Art Specialist/Technologist
  • Fort Worth, TX
National Provider Identifier
1114455656
Registry record updated May 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
License
3DAREOLA Issued in TX
Practice address
6201 Sunset Dr Ste 650
Fort Worth, TX 76116-5521
Phone
(817) 751-8177
NPI assigned
May 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X 3DAREOLA TX Primary

Addresses

Primary practice location

6201 Sunset Dr Ste 650
Fort Worth, TX 76116-5521

Mailing address

1500 Park Crest Dr
Crowley, TX 76036-3464
Phone (817) 751-8177

Other identifiers 1

IdentifierTypeStateIssuer
82-1067523OtherTXTEXAS DEPARTMENT OF HEALTH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3DAREOLATXMDMedical Art Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avail Health and Wellness Current Accepting new patients

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496016000000",
    "number": "1114455656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PARK CREST DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363464",
            "telephone_number": "817-751-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SUNSET DR STE 650",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165521",
            "telephone_number": "817-751-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "CANDICE",
        "middle_name": "RENEE",
        "credential": "MA, AREOLA ARTIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2017-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "TX",
            "license": "3DAREOLA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF HEALTH",
            "identifier": "82-1067523",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; 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.