Organization Active NPI

Rizwaan Rauf, DDS PLLC

  • Dentist
  • Bedford, TX
National Provider Identifier
1962827709
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RIZWAAN RAUF, DDS PLLC
Practice address
4105 Highway 121
610
Bedford, TX 76021-3039
Phone
(817) 355-4444
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Rizwaan Rauf, DDS
Title
Owner
Phone
(817) 355-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4105 Highway 121
610
Bedford, TX 76021-3039

Mailing address

4105 St. Hwy 121
610
Bedford, TX 76021
Phone (817) 355-4444

Other names 1

  • Bedford Creek Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4105 Highway 121
Ste 610
Bedford, TX 76021
Phone (817) 355-4444

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1962827709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 ST. HWY 121",
            "address_2": "610",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-355-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HIGHWAY 121",
            "address_2": "610",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213039",
            "telephone_number": "817-355-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZWAAN RAUF, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "RAUF",
        "authorized_official_first_name": "RIZWAAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-355-4444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Creek Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.