Denae W Rickenbacker MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DENAE W RICKENBACKER MD PC

Practice address

11901 W Parmer LN
Ste 310
Cedar Park, TX 78613-7651

Phone

(512) 690-2075

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Denae Rickenbacker, MD

Title

Owner

Phone

(512) 690-2075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1831598655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "STE 310",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 W PARMER LN",
            "address_2": "STE 310",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137651",
            "telephone_number": "512-690-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENAE W RICKENBACKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "RICKENBACKER",
        "authorized_official_first_name": "DENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-690-2075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Neil Delao, PHARMD RPH
• Sylvia R. Deleon, LMSW-IPR
• Dell Children'S Medical Group
• Clinton Demaris, D.C.
• Alyssa Marie Demetrius
• Jenna Dennehy
• Dental Health Associates of TX, PC
• Dental Health Management Solutions, Inc
• Dental Salon PLLC
• Dentistry for the Elderly, PLLC

• All providers in Cedar Park, TX
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.