Individual provider Active NPI

Alberto Ambriz, DDS, MDT

  • Dentist
  • Dallas, TX
National Provider Identifier
1952683450
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30812 Issued in TX
Practice address
9400 N Central Expy Ste 220
Dallas, TX 75231-5061
Phone
(214) 368-0514
NPI assigned
Sep 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30812 TX Primary

Addresses

Primary practice location

9400 N Central Expy Ste 220
Dallas, TX 75231-5061

Mailing address

9400 N Central Expy Ste 220
Dallas, TX 75231-5061
Phone (214) 368-0514

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
30812TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dimitry T Philipovitch, DDS, PLLC Dentist PastSince Dec 10, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1952683450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 N CENTRAL EXPY STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315061",
            "telephone_number": "214-368-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 N CENTRAL EXPY STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315061",
            "telephone_number": "214-368-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBRIZ",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS, MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30812",
            "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 Dec 8, 2023; 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.