Active NPI
Dane Craig Risinger, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orange, TX
National Provider Identifier
1114764487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 40340
- Practice address
- 6901 Medical Center Dr Ste 120
Orange, TX 77630-1410 - Phone
- (409) 216-1133
- NPI assigned
- Jul 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 40340 | TX | Primary |
Addresses
Primary practice location
6901 Medical Center Dr Ste 120
Orange, TX 77630-1410
Mailing address
6901 Medical Center Dr Ste 120
Orange, TX 77630-1410
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 |
|---|---|---|---|
| 40340 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dos Orthos, PLLC | Current | Accepting new patients | |
| Risinger & Valls Orthodontic Specialists, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Locations
6901 Medical Center Dr
Ste 120
Orange, TX 77630
Phone (409) 216-1133
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Beaumont, TX
- NPI 1710843610
-
- Dental Clinic/Center
- Orange, TX
- NPI 1215788567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1114764487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 MEDICAL CENTER DR STE 120",
"city": "ORANGE",
"state": "TX",
"postal_code": "776301410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL CENTER DR STE 120",
"city": "ORANGE",
"state": "TX",
"postal_code": "776301410",
"telephone_number": "409-216-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISINGER",
"first_name": "DANE",
"middle_name": "CRAIG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "40340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.