Haley Nicole Ruiz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D012193 Issued in AZ

Practice address

3961 E Chandler Blvd Ste 104
Phoenix, AZ 85048-0303

Phone

(480) 759-4202

NPI assigned

Jun 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Haley Nicole Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alma School Dental Management Co. PC

  • Dentist
  • Phoenix, AZ
  • NPI 1164754032
  NPD (past)
• Dynamic Dental Health Associates of Arizona

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1811326226
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1093557944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 N 71ST PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571334",
            "telephone_number": "406-498-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E CHANDLER BLVD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480303",
            "telephone_number": "480-759-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "HENDERSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ruiz, LCSW
• Elizabeth Ruiz
• Flor Ruiz, RBT
• Freddy Ruiz Jr.
• Gabriel Stephen Ruiz, MD
• Ines Ruiz, PHARMD
• Irma G Ruiz, F.N.P
• Jessica Ruiz
• Jessica Lynne Ruiz, FNP-C
• Jesus Yesenia Ruiz

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.