Individual provider Active NPI

Jose Ruben Ramirez Sr., D.D.S.

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1003126343
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55651 Issued in CA
Practice address
524 N Palm Ave
Ontario, CA 91762-3218
Phone
(909) 467-2039
Fax
(909) 467-2052
NPI assigned
Oct 20, 2010
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55651 CA Primary

Addresses

Primary practice location

524 N Palm Ave
Ontario, CA 91762-3218

Mailing address

524 N Palm Ave
Ontario, CA 91762-3218
Phone (909) 467-2039

Other identifiers 1

IdentifierTypeStateIssuer
261279944OtherCADENTAL

Other names 1

  • Dr. Jose Ruben Ramirez Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rublanca@hotmail.com Health Information Exchange (HIE)
Direct Messaging Address rublanca@hotmail.com Other
Direct Messaging Address rublanca@hotmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511001205 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719206994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55651CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Patricia Parroquin Professional Dental Corporation General Practice Past Accepting new patients
Arzu Dental Corporation General Practice PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1003126343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N PALM AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623218",
            "telephone_number": "909-467-2039",
            "fax_number": "909-467-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N PALM AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623218",
            "telephone_number": "909-467-2039",
            "fax_number": "909-467-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "JOSE",
        "middle_name": "RUBEN",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "261279944",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rublanca@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "office e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "524 N Palm Ave",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917623218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rublanca@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "office e-mail",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "524 N Palm Ave",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917623218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rublanca@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "office e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "524 N Palm Ave",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917623218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "RAMIREZ",
            "middle_name": "RUBEN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.