DERID URE (NPI# 1255660460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255660460 |
| Entity Type | Individual |
| Full Name | DERID URE |
| Credential | D.D.S. |
| Practice Address |
4601 50th St Suite 206 Lubbock TX 79414-3513 |
| Practice Telephone | 8067928116 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
25110 | TX | Dental Providers |
| Street Address |
4601 50TH ST SUITE 206 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679535371 | Jonathan G Latour | Anesthesiology | 4601 50th St, Suite 112, Lubbock, TX 79414-3513 | 2006-04-06 |
| 1962840058 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4601 50th St, Suite 211, Lubbock, TX 79414-3513 | 2013-06-11 |
| 1699113100 | Educare Community Living Corporation - Texas | Community/Behavioral Health | 4601 50th St, Suite 211, Lubbock, TX 79414-3513 | 2013-06-06 |
| 1497022131 | Derid S. Ure, Dds, Msd, Pa | Clinic/Center | 4601 50th St, Suite 206, Lubbock, TX 79414-3513 | 2011-11-23 |
| 1487837407 | Patrick Anthony Morrison | Counselor | 4601 50th St, 209, Lubbock, TX 79414-3513 | 2007-12-12 |
| 1447443189 | Chase Mcclain | Anesthesiology | 4601 50th St, Suite 112, Lubbock, TX 79414-3513 | 2007-08-27 |
| 1245351410 | Southwest Surgical Assistants, Inc. | Specialist/Technologist, Other | 4601 50th St, Suite 106, Lubbock, TX 79414-3513 | 2007-04-03 |
| 1063547271 | Janet Raye Ellis | Specialist/Technologist, Other | 4601 50th St, Suite 106, Lubbock, TX 79414-3513 | 2007-02-21 |
| 1437261872 | Phillip Lindsey Dds Pa | Clinic/Center | 4601 50th St, Suite 201, Lubbock, TX 79414-3513 | 2006-08-31 |
| 1033127618 | Phillip R Lindsey Sr. | Dentist | 4601 50th St, Suite 201, Lubbock, TX 79414-3513 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326379777 | John Francis Brown | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2010-01-25 |
| 1902013881 | St. Clair and St. Clair Orthodontics | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2007-05-17 |
| 1992928246 | Joe Forsman | Dentist | 6400 Quaker Ave, Lubbock, TX 79413-5143 | 2007-04-11 |
| 1740364074 | Edwin Clarence Wentz | Dentist | 4013-84th, Lubbock, TX 79423 | 2006-10-24 |
| 1689641862 | Jeff G. Keeling | Dentist | 5203 79th St, Suite A, Lubbock, TX 79424-2850 | 2006-03-07 |
| 1891227831 | Nicole Kim | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2017-03-29 |
| 1679028484 | Christopher Carrel Massey | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2016-08-22 |
| 1669867263 | Braces Braces Braces of Abbeville - Lubbock Pllc | Dentist | 3801 50th St, Suite 15, Lubbock, TX 79413-3807 | 2015-03-31 |
| 1780938902 | Claudio Caycedo Dds, Pa | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2012-11-09 |
| 1205062296 | Stephen Joseph Breaud | Dentist | 4630 50th St, Ste 505, Lubbock, TX 79414-3521 | 2009-06-03 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.