Charles Mike Rios, MD

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

F5723 Issued in TX

Practice address

1100 S. Main St. #103
Grapevine, TX 76051

Phone

(817) 310-5510

Fax

(817) 310-5508

NPI assigned

Jul 10, 2007

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• At4K Texas Providers PLLC

  • Intellectual & Developmental Disabilities Psychologist
  • Grapevine, TX
  • NPI 1003626581

  Developmental - Behavioral Pediatrics

  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1467650564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S. MAIN ST. #103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-310-5510",
            "fax_number": "817-310-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S. MAIN ST. #103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-310-5510",
            "fax_number": "817-310-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "CHARLES",
        "middle_name": "MIKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "F5723",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "TX",
            "license": "F5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan J Riche', DC
• Allison Haley Rigg
• Shawn Riley, M.D.
• Rim Endeavors, LLC (The Vine Counseling & Wellness Center)
• Rio One at Tarrant County, LLC (The Lodge at Bear Creek)
• Julio R Rivera, M.D.
• Ariana Rivero, LMFT-ASSOCIATE
• RKS & Associates LLC (Homewatch CareGivers of Keller Grapevine)
• RLS Supermarkets LLC (Minyard Pharmacy #76)
• James Loren Roberds, PHARMD.

• Pediatric Neurodevelopmental Disabilities Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.