Individual provider Active NPI

Jeffrey Kooper Ruminer, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1093380859
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7428 Issued in OK
Practice address
14901 N Rockwell Ave
Suite a
Oklahoma City, OK 73142
Phone
(405) 468-9611
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 7428 OK Primary

Addresses

Primary practice location

14901 N Rockwell Ave
Suite a
Oklahoma City, OK 73142

Mailing address

8309 NW 161St St
Edmond, OK 73013-5524
Phone (405) 420-5882

Other practice location 1

110 E Main St
Stroud, OK 74079-4233
Phone (918) 968-1606

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

LicenseStateTypeSpecialty
7428OKMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1093380859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 NW 161ST ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135524",
            "telephone_number": "405-420-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 N ROCKWELL AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73142",
            "telephone_number": "405-468-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stroud",
            "state": "OK",
            "postal_code": "740794233",
            "country_code": "US",
            "telephone_number": "918-968-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMINER",
        "first_name": "JEFFREY",
        "middle_name": "KOOPER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.