Active NPI
Jordan Risinger, D.D.S.
- General Practice Dentistry
- Athens, TX
National Provider Identifier
1851527550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0024710
- Practice address
- 800 S. Palestine St.
Athens, TX 75751 - Phone
- (903) 675-9118
- Fax
- (903) 677-3156
- NPI assigned
- Jun 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0024710 | TX | Primary |
Addresses
Primary practice location
800 S. Palestine St.
Athens, TX 75751
Mailing address
800 S. Palestine St.
Athens, TX 75751
Phone (903) 675-9118
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 |
|---|---|---|---|
| 0024710 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joe Mike Murphy, DDS, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Athens, TX
- NPI 1801060827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851527550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S. PALESTINE ST.",
"city": "ATHENS",
"state": "TX",
"postal_code": "75751",
"telephone_number": "903-675-9118",
"fax_number": "903-677-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S. PALESTINE ST.",
"city": "ATHENS",
"state": "TX",
"postal_code": "75751",
"telephone_number": "903-675-9118",
"fax_number": "903-677-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISINGER",
"first_name": "JORDAN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0024710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.