Organization Active NPI

Max Ribald DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Arlington, TX
National Provider Identifier
1316104763
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0586 Issued in TX
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

Updated by the provider on Nov 7, 2008

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10028677MedicaidTX
092761802MedicaidTX
00CN37OtherTXBLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.