Organization Active NPI

Ritchie L Hibbert, DMD, LLC

  • General Practice Dentistry
  • Pendleton, OR
National Provider Identifier
1487749172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5957 Issued in OR
Legal business name
RITCHIE L HIBBERT, DMD, LLC
Practice address
1100 Southgate
Suite 3
Pendleton, OR 97801-3974
Phone
(541) 276-5272
Fax
(541) 276-7212
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ritchie L Hibbert, DMD
Title
President
Phone
(541) 276-5272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5957 OR Primary

Addresses

Primary practice location

1100 Southgate
Suite 3
Pendleton, OR 97801-3974

Mailing address

1100 Southgate
Suite 3
Pendleton, OR 97801-3974
Phone (541) 276-5272

National Provider Directory

National Provider Directory

Locations

1100 Southgate
Ste 3
Pendleton, OR 97801
Phone (541) 215-4440

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487749172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE",
            "address_2": "SUITE 3",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013974",
            "telephone_number": "541-276-5272",
            "fax_number": "541-276-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE",
            "address_2": "SUITE 3",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013974",
            "telephone_number": "541-276-5272",
            "fax_number": "541-276-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE L HIBBERT, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "RITCHIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-276-5272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.