Active NPI
David R Rittenhouse, DO
- Urology Physician
- Fort Worth, TX
National Provider Identifier
1811950397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- K3430
- Practice address
- 2900 Acme Brick PLZ
Fort Worth, TX 76109-4123 - Phone
- (817) 871-9069
- Fax
- (817) 871-9067
- NPI assigned
- Apr 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2769 | OK | |
| Urology Physician | 208800000X | K3430 | TX | Primary |
Addresses
Primary practice location
2900 Acme Brick PLZ
Fort Worth, TX 76109-4123
Mailing address
5013 Bentwood CT
Fort Worth, TX 76132-1171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043155306 | Medicaid | TX | |
| 043155305 | Medicaid | TX | |
| 043155303 | Medicaid | TX | |
| 043155304 | Medicaid | TX |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2769 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1811950397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 BENTWOOD CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 ACME BRICK PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094123",
"telephone_number": "817-871-9069",
"fax_number": "817-871-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTENHOUSE",
"first_name": "DAVID",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OK",
"license": "2769",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "K3430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043155306",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043155305",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043155303",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043155304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.