Active NPI
Dale R Ruemping, D.D.S. , M.S.D.
- Pediatric Dentistry
- Spokane Valley, WA
National Provider Identifier
1104983709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 5676
- Practice address
- 12615 E Mission Ave
Suite 312
Spokane Valley, WA 99216-1047 - Phone
- (509) 926-1234
- Fax
- (509) 926-1701
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 5676 | WA | Primary |
Addresses
Primary practice location
12615 E Mission Ave
Suite 312
Spokane Valley, WA 99216-1047
Mailing address
12615 E Mission Ave
Suite 312
Spokane Valley, WA 99216-1047
Phone (509) 926-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5015516 | Medicaid | WA |
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 |
|---|---|---|---|
| 5676 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Blake, DMD, PS | Pediatric Dentistry | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Spokane Valley, WA
- NPI 1255531018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104983709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12615 E MISSION AVE",
"address_2": "SUITE 312",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161047",
"telephone_number": "509-926-1234",
"fax_number": "509-926-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12615 E MISSION AVE",
"address_2": "SUITE 312",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161047",
"telephone_number": "509-926-1234",
"fax_number": "509-926-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEMPING",
"first_name": "DALE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S. , M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "5676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5015516",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.