Active NPI
Jean-Paul Rwigema, DDS
- Dentist
- Dallas, TX
National Provider Identifier
1891166096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31456
- Practice address
- 3400 Lombardy LN
Suite #100
Dallas, TX 75220-3310 - Phone
- (214) 420-7008
- NPI assigned
- Oct 13, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31456 | TX | Primary |
Addresses
Primary practice location
3400 Lombardy LN
Suite #100
Dallas, TX 75220-3310
Mailing address
3000 Blackburn St
Apt #308
Dallas, TX 75204-2200
Phone (602) 573-9585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 10, 2016 through May 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31456 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1891166096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 BLACKBURN ST",
"address_2": "APT #308",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042200",
"telephone_number": "602-573-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LOMBARDY LN",
"address_2": "SUITE #100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752203310",
"telephone_number": "214-420-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RWIGEMA",
"first_name": "JEAN-PAUL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.