Active NPI
Jeffrey Kooper Ruminer, DDS
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1093380859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7428
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7428 | OK | MD | General 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.