Active NPI
Christy C. Riddle, MD PLLC
- Dermatology Physician
- Dallas, TX
National Provider Identifier
1174345896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CHRISTY C. RIDDLE, MD PLLC
- Practice address
- 10611 Garland Rd Ste 110
Dallas, TX 75218-2683 - Phone
- (214) 324-2881
- Fax
- (214) 328-4084
- NPI assigned
- Oct 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christy C Riddle, MD
- Title
- President
- Phone
- (214) 324-2881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
10611 Garland Rd Ste 110
Dallas, TX 75218-2683
Mailing address
10611 Garland Rd Ste 110
Dallas, TX 75218-2683
Phone (214) 324-2881
Other names 1
- White Rock Dermatololgy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Dallas, TX
- NPI 1992835565
-
- Specialist
- Dallas, TX
- NPI 1881632602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1174345896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10611 GARLAND RD STE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182683",
"telephone_number": "214-324-2881",
"fax_number": "214-328-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10611 GARLAND RD STE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182683",
"telephone_number": "214-324-2881",
"fax_number": "214-328-4084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTY C. RIDDLE, MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-324-2881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "White Rock Dermatololgy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
- Max Christopher
- Christin Christopherson
- Aristarchus Christson, CHAPLAIN
- Haniel Christson, RN, ADMINISTRATOR
- Christway Home Healthcare, LLC
- Christy Neher, Licensed Professional Counselor
- Rosemary Garza Christy, M.D.
- Chronic Pain Management of North Texas, Inc
- Chronic Pain Relief Center
- Chronic Pain Relief, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.