1316068935 NPI number — DR. RITA F. NE D.D.S.,M.S.

Table of content: HEAVEN MALAYA JONES (NPI 1194543918)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316068935 NPI number — DR. RITA F. NE D.D.S.,M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NE
Provider First Name:
RITA
Provider Middle Name:
F.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.,M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316068935
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2351 W NORTHWEST HWY STE 3325
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75220-4487
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-704-6778
Provider Business Mailing Address Fax Number:
214-366-7660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 N WESTMORELAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75211-1656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-307-5672
Provider Business Practice Location Address Fax Number:
214-366-7660
Provider Enumeration Date:
04/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  18807 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223E0200X , with the licence number: 18807 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 86-1058804 . This is a "AETNA DENTAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF FL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF NY" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF PA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF CA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "GUARDIAN DENTALGUARD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "HUMANA DENTAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DENTAL NETWORK OF AMERICA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "ASSURANT EMPLOYEE BENEFIT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "PRINCIPAL FINANCIAL GROUP" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "CIGNA DENTAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF MO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF IL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA CARE-PMI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF GA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "COMPBENEFITS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "METLIFE DENTAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF CO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "AMERITAS PPO DENTAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86-1058804 . This is a "DELTA DENTAL OF MA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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