Active NPI
Mayra Nieves-Rios, M.D.
- Child Abuse Pediatrics Physician
- Dallas, TX
National Provider Identifier
1992789168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Abuse Pediatrics Physician
- License
- P7171
- Practice address
- 809 Singleton Blvd
Dallas, TX 75212-4014 - Phone
- (214) 540-0300
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14382 | PR | |
| Child Abuse Pediatrics Physician | 2080C0008X | P7171 | TX | Primary |
Addresses
Primary practice location
809 Singleton Blvd
Dallas, TX 75212-4014
Mailing address
809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14382 | PR | MD | Pediatrics Physician |
| P7171 | TX | MD | Child Abuse Pediatrics Physician |
Interoperability endpoints
- mayra.nieves-rios.1@17617.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1992789168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 SINGLETON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752124014",
"telephone_number": "214-540-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 SINGLETON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752124014",
"telephone_number": "214-540-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES-RIOS",
"first_name": "MAYRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "14382",
"primary": false
},
{
"code": "2080C0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "TX",
"license": "P7171",
"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 Jun 27, 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.