Organization Active NPI

Miguel a. Riuz, DDS. PA

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1922452523
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIGUEL A. RIUZ, DDS. PA
Practice address
600 River Pointe Dr
Suite 200a
Conroe, TX 77304-2866
Phone
(936) 539-6000
Fax
(936) 539-6002
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Miguel A Ruiz Jr., DDS
Title
Dentist/President
Phone
(936) 539-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

600 River Pointe Dr
Suite 200a
Conroe, TX 77304-2866

Mailing address

600 River Pointe Dr
Suite 200a
Conroe, TX 77304-2866
Phone (936) 539-6000

Other identifiers 1

IdentifierTypeStateIssuer
139347217MedicaidTX

National Provider Directory

National Provider Directory

Locations

600 River Pointe Dr
Ste 200A
Conroe, TX 77304
Phone (936) 539-6000

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1922452523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIVER POINTE DR",
            "address_2": "SUITE 200A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042866",
            "telephone_number": "936-539-6000",
            "fax_number": "936-539-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIVER POINTE DR",
            "address_2": "SUITE 200A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042866",
            "telephone_number": "936-539-6000",
            "fax_number": "936-539-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A. RIUZ, DDS. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "936-539-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139347217",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.