Organization Active NPI

Derid S. Ure, DDS, MSD, PA

  • Dental Clinic/Center
  • Lubbock, TX
National Provider Identifier
1497022131
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
25110 Issued in TX
Legal business name
DERID S. URE, DDS, MSD, PA
Practice address
4601 50TH St
Suite 206
Lubbock, TX 79414-3513
Phone
(806) 792-8116
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Derid Ure, D.D.S.NPI 1255660460
Title
President
Phone
(806) 792-8116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 25110 TX Primary

Addresses

Primary practice location

4601 50TH St
Suite 206
Lubbock, TX 79414-3513

Mailing address

4601 50TH St
Suite 206
Lubbock, TX 79414-3513

National Provider Directory

National Provider Directory

Locations

4601 50th St
Ste 206
Lubbock, TX 79414
Phone (806) 792-8116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1497022131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 50TH ST",
            "address_2": "SUITE 206",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 50TH ST",
            "address_2": "SUITE 206",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143513",
            "telephone_number": "806-792-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERID S. URE, DDS, MSD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "URE",
        "authorized_official_first_name": "DERID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-792-8116",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.