Individual provider Active NPI

Nirav Ribadiya, DMD

  • Dentist
  • Vernon, TX
National Provider Identifier
1932838349
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38584 Issued in TX
Practice address
4109 Hillcrest PLZ
Vernon, TX 76384-3267
Phone
(940) 552-2269
NPI assigned
Jun 9, 2022
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38584 TX Primary

Addresses

Primary practice location

4109 Hillcrest PLZ
Vernon, TX 76384-3267

Mailing address

4100 Weeks Park LN Apt 264
Wichita Falls, TX 76308-3244
Phone (616) 264-5984

Other practice location 1

4111 Southwest Pkwy Ste 500
Wichita Falls, TX 76308-4303
Phone (940) 301-3669

Other practice location 2

3201 Lawrence Rd Ste 375
Wichita Falls, TX 76308-1638
Phone (940) 432-3404

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

LicenseStateTypeSpecialty
38584TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spearmint Kids and Orthodontics PLLC General Practice PastSince Feb 6, 2022 Accepting new patients
Smiles of Vernon PLLC General Practice PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1932838349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WEEKS PARK LN APT 264",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083244",
            "telephone_number": "616-264-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 HILLCREST PLZ",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843267",
            "telephone_number": "940-552-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Southwest Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763084303",
            "country_code": "US",
            "telephone_number": "940-301-3669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Lawrence Rd Ste 375",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763081638",
            "country_code": "US",
            "telephone_number": "940-432-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIBADIYA",
        "first_name": "NIRAV",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.