Organization Active NPI

David W. Ritter, M.D., P.a.

  • Surgery Physician
  • Rockwall, TX
National Provider Identifier
1295062172
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J4481 Issued in TX
Legal business name
DAVID W. RITTER, M.D., P.A.
Practice address
6705 Heritage Pkwy Ste 104
Rockwall, TX 75087-8729
Phone
(972) 412-7700
Fax
(972) 412-7710
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Dr. David W Ritter, M.D.NPI 1841282365
Title
President
Phone
(214) 213-4148

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X J4481 TX Primary

Addresses

Primary practice location

6705 Heritage Pkwy Ste 104
Rockwall, TX 75087-8729

Mailing address

PO Box 127
Rockwall, TX 75087-0127
Phone (972) 412-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100220000058 TX Part B Supplier - Clinic/Group Practice 3072657667 Receives reassigned benefits from 5 practitioners
Practice locations: Rockwall, TX; Greenville, TX

National Provider Directory

National Provider Directory

Locations

6800 Heritage Pkwy
Ste 200
Rockwall, TX 75087
Phone (469) 338-5246

6705 Heritage Pkwy
Ste 104
Rockwall, TX 75087
Phone (972) 412-7700

7501 Lakeview Pkwy
Ste 270
Rowlett, TX 75088
Phone (469) 916-7880

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1295062172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870127",
            "telephone_number": "972-412-7700",
            "fax_number": "972-412-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 HERITAGE PKWY STE 104",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878729",
            "telephone_number": "972-412-7700",
            "fax_number": "972-412-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. RITTER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2021-08-12",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-213-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.

Verify at the official NPI Registry.