Garrett Rist, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36472 Issued in TX

Practice address

9117 Sagewood Dr Apt 3313
Fort Worth, TX 76177-2342

Phone

(817) 776-3392

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Granbury Park Dental GPS PLLC

  • Dental Clinic/Center
  • Granbury, TX
  • NPI 1598482275
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1336759372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W PEARL ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482044",
            "telephone_number": "817-573-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9117 SAGEWOOD DR APT 3313",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772342",
            "telephone_number": "817-776-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIST",
        "first_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mark Ripperda, M.D.
• Rise Up Living Home LLC
• Rising Spurs ABA Therapy Corp
• David Owen Risinger, MD
• Jonathan David Risner, D.M.D.
• Nicholas Scott Rister, M.D.
• Rita G Wood DO PA
• Taylor Lee Ritcherson
• Hannah E Ritchie, SLP
• Janie Ritenour, L.P.T.

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.