Individual provider Active NPI

Ronald Keith Risinger, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Beaumont, TX
National Provider Identifier
1376760819
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
15661 Issued in TX
Practice address
8 Acadiana CT
Beaumont, TX 77706-3012
Phone
(409) 899-4884
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 15661 TX Primary

Addresses

Primary practice location

8 Acadiana CT
Beaumont, TX 77706-3012

Mailing address

3190 North St
Beaumont, TX 77702-1420
Phone (409) 924-0002

Other practice location 1

7900 Medical Center Blvd
Port Arthur, TX 77640-2425
Phone (409) 729-2371

Other practice location 2

3190 North St
Beaumont, TX 77702-1420
Phone (409) 924-0002

Other identifiers 1

IdentifierTypeStateIssuer
15661OtherTXDENTAL LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15661TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald K. Risinger, DDS, Ms, PC Orthodontics and Dentofacial Orthopedics PastSince Nov 24, 2024 Accepting new patients
Ronald K. Risinger, DDS, Ms, PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Risinger & Valls Orthodontic Specialists, PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 3

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1376760819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021420",
            "telephone_number": "409-924-0002",
            "fax_number": "409-924-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ACADIANA CT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063012",
            "telephone_number": "409-899-4884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402425",
            "country_code": "US",
            "telephone_number": "409-729-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3190 North St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021420",
            "country_code": "US",
            "telephone_number": "409-924-0002",
            "fax_number": "409-924-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISINGER",
        "first_name": "RONALD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "15661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "15661",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.