Individual provider Active NPI

Andrew T Ruvo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Durham, NC
National Provider Identifier
1083757298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8337 Issued in NC
Practice address
2823 N Duke St
Durham, NC 27704-2621
Phone
(919) 479-0707
Fax
(919) 479-5435
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 8337 NC Primary

Addresses

Primary practice location

2823 N Duke St
Durham, NC 27704-2621

Mailing address

2823 N Duke St
Durham, NC 27704-2621
Phone (919) 479-0707

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070831000594 NC Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6103919428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery Associates PAGroup PAC ID 6002855244, 4 clinicians

Practice addresses (Care Compare)

109 Dennis Dr
Sanford, NC 27330-6343
Phone (919) 775-1615

2823 N Duke St
Durham, NC 27704-2621
Phone (919) 479-0707

501 Eastowne Dr
Suite 110
Chapel Hill, NC 27514-6224
Phone (919) 929-2196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8337NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgery Associates PA Oral and Maxillofacial Surgery CurrentSince Jul 1, 2007 Accepting new patients

Locations

501 Eastowne Dr
Ste 110
Chapel Hill, NC 27514
Phone (919) 929-2196

2823 N Duke St
Durham, NC 27704
Phone (919) 479-0707

Interoperability endpoints

  • Direct secure messaging: aruvo49163@direct.medicine.duke.edu

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083757298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042621",
            "telephone_number": "919-479-0707",
            "fax_number": "919-479-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042621",
            "telephone_number": "919-479-0707",
            "fax_number": "919-479-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVO",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.