Active NPI
Max Ribald DPM, PC
- Foot & Ankle Surgery Podiatrist
- Arlington, TX
National Provider Identifier
1316104763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0586
- Legal business name
- MAX RIBALD DPM, PC
- Practice address
- 801 Road to Six Flags W Ste 150
Arlington, TX 76012-2600 - Phone
- (817) 860-9121
- Fax
- (817) 860-9128
- NPI assigned
- May 21, 2008
- 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
- Max S Ribald, DPM
- Title
- Owner/Podiatrist
- Phone
- (817) 860-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0586 | TX | Primary |
Addresses
Primary practice location
801 Road to Six Flags W Ste 150
Arlington, TX 76012-2600
Mailing address
801 Road to Six Flags W Ste 150
Arlington, TX 76012-2600
Phone (817) 860-9121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10028677 | Medicaid | TX | |
| 092761802 | Medicaid | TX | |
| 00CN37 | Other | TX | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
801 Road To Six Flags W
Ste 150
Arlington, TX 76012
Phone (817) 860-9021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1316104763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ROAD TO SIX FLAGS W STE 150",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122600",
"telephone_number": "817-860-9121",
"fax_number": "817-860-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ROAD TO SIX FLAGS W STE 150",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122600",
"telephone_number": "817-860-9121",
"fax_number": "817-860-9128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAX RIBALD DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "RIBALD",
"authorized_official_first_name": "MAX",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PODIATRIST",
"authorized_official_telephone_number": "817-860-9121",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "0586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10028677",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092761802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00CN37",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.