Individual provider Active NPI

Derid Ure, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lubbock, TX
National Provider Identifier
1255660460
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
25110 Issued in TX
Practice address
4601 50TH St
Suite 206
Lubbock, TX 79414-3513
Phone
(806) 792-8116
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 25110 TX Primary

Addresses

Primary practice location

4601 50TH St
Suite 206
Lubbock, TX 79414-3513

Mailing address

4601 50TH St
Suite 206
Lubbock, TX 79414-3513

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

LicenseStateTypeSpecialty
25110TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Derid S. Ure, DDS, MSD, PA Past 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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1255660460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 50TH ST",
            "address_2": "SUITE 206",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 50TH ST",
            "address_2": "SUITE 206",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143513",
            "telephone_number": "806-792-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URE",
        "first_name": "DERID",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "25110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.