Active NPI
Mina T. Rizk, B.D.S., M.S.D.
- Endodontics
- Katy, TX
National Provider Identifier
1821497470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 32411
- Practice address
- 25621 Nelson Way
Unite 110
Katy, TX 77494 - Phone
- (216) 938-0032
- NPI assigned
- Aug 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | 32411 | TX | Primary |
Addresses
Primary practice location
25621 Nelson Way
Unite 110
Katy, TX 77494
Mailing address
25621 Nelson Way
Unite 110
Katy, TX 77494
Phone (216) 938-0032
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32411 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1821497470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25621 NELSON WAY",
"address_2": "UNITE 110",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "216-938-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25621 NELSON WAY",
"address_2": "UNITE 110",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "216-938-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZK",
"first_name": "MINA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "B.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "32411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.