John Frank Ruocco, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7738 Issued in NC

Practice address

1276 Stafford St
Monroe, NC 28110-3286

Phone

(704) 996-2245

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1043369457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 BANYAN WAY",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738853",
            "telephone_number": "704-996-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 STAFFORD ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103286",
            "telephone_number": "704-996-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8418 Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281738302",
            "country_code": "US",
            "telephone_number": "704-843-2880",
            "fax_number": "704-843-1652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8418 Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281738302",
            "country_code": "US",
            "telephone_number": "704-843-2880",
            "fax_number": "704-843-1652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Highway 274",
            "address_purpose": "LOCATION",
            "city": "Clover",
            "state": "SC",
            "postal_code": "29710",
            "country_code": "US",
            "telephone_number": "704-996-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUOCCO",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9512",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF DENTISTRY",
            "identifier": "9512",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy D Jennings DDS PA
• Roy W. Richardson, III, D.D.S., P.a.
• Eden A Royster, SLP
• Mary Elizabeth Sale Rukenbrod, FNP
• Helen Hernandez Rumley, RPH
• Brianna Jayde Russell
• Cindy Honeycutt Russell, OTR/L
• Jessica Woodie Rutledge, NP
• Matthew Ryan
• Madeline Saab

• General Practice Dentistry in Monroe, NC
• Providers in Monroe, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.