Active NPI
Linda Jean Ruppel, DDS
- Prosthodontics
- Boise, ID
National Provider Identifier
1043221393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D2032PR
- Practice address
- 7669 Emerald St
Boise, ID 83704-9018 - Phone
- (208) 377-5523
- Fax
- (208) 377-0352
- NPI assigned
- Aug 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D2032PR | ID | Primary |
Addresses
Primary practice location
7669 Emerald St
Boise, ID 83704-9018
Mailing address
7669 Emerald St
Boise, ID 83704-9018
Phone (208) 377-5523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66D2032 | Medicaid | ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2032PR | ID | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043221393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7669 EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049018",
"telephone_number": "208-377-5523",
"fax_number": "208-377-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7669 EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049018",
"telephone_number": "208-377-5523",
"fax_number": "208-377-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPEL",
"first_name": "LINDA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "ID",
"license": "D2032PR",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66D2032",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.