NPIMap

Organization Active NPI

Dr. Albert G Ruezga, Inc.

  • Dentist
  • Pahrump, NV
National Provider Identifier
1104961663
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4065 Issued in NV
Legal business name
DR. ALBERT G RUEZGA, INC.
Practice address
2340 E Calvada Blvd
1
Pahrump, NV 89048-5880
Phone
(775) 751-5888
Fax
(775) 751-1573
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Albert G Ruezga, D.D.S.NPI 1124172267
Title
President
Phone
(775) 751-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4065 NV Primary

Addresses

Primary practice location

2340 E Calvada Blvd
1
Pahrump, NV 89048-5880

Mailing address

2340 E Calvada Blvd
1
Pahrump, NV 89048-5880
Phone (775) 751-5888

National Provider Directory

National Provider Directory

Locations

2340 E Calvada Blvd
Ste 1
Pahrump, NV 89048
Phone (775) 751-5888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1104961663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD",
            "address_2": "1",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485880",
            "telephone_number": "775-751-5888",
            "fax_number": "775-751-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD",
            "address_2": "1",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485880",
            "telephone_number": "775-751-5888",
            "fax_number": "775-751-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALBERT G RUEZGA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "RUEZGA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-751-5888",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.