Ruiz Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17865 Issued in TX

Legal business name

RUIZ DENTAL PLLC

Practice address

6262 Weber Rd
Suite 120
Corpus Christi, TX 78413-4006

Phone

(361) 851-2828

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Ruiz, DDS

Title

Managing Member

Phone

(361) 851-2828

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1114229739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 WEBER RD",
            "address_2": "SUITE 120",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134006",
            "telephone_number": "361-851-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 WEBER RD",
            "address_2": "SUITE 120",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134006",
            "telephone_number": "361-851-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUIZ DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "361-851-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126682707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray A Rubio, R.PH.
• Sara Ruckstuhl
• Susan Rudolph, PH.D.
• Naomi Marie Ruffin, PHD
• Rufino H. Gonzalez, M.D., P.a.
• Allison Ruiz
• Gabriella Rose Ruiz
• Irisema Y Ruiz, MS, LCDC
• Jose Ruiz, NP
• Lissa Diane Ruiz, PA-C

• General Practice Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.