Active NPI
Gregg M Ripplinger
- Surgery Physician
- Henderson, NV
National Provider Identifier
1770553760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4615
- Practice address
- 10001 S Eastern Ave Ste 201
Henderson, NV 89052 - Phone
- (702) 914-2420
- Fax
- (702) 914-6653
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4615 | NV | Primary |
Addresses
Primary practice location
10001 S Eastern Ave Ste 201
Henderson, NV 89052
Mailing address
10001 S Eastern Ave Ste 201
Henderson, NV 89052-3908
Phone (702) 914-2420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002002583 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4615 | NV | MD | Physical Therapist |
Interoperability endpoints
- https://api.platform.athenahealth.com/5551/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1770553760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 S EASTERN AVE STE 201",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523908",
"telephone_number": "702-914-2420",
"fax_number": "702-914-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S EASTERN AVE STE 201",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-914-2420",
"fax_number": "702-914-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIPPLINGER",
"first_name": "GREGG",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "4615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002583",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.