Sara E Ruddy DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SARA E RUDDY DDS PLLC

Practice address

3083 Coolidge Hwy
Berkley, MI 48072-3523

Phone

(248) 547-5115

Fax

(248) 547-5613

NPI assigned

Jul 5, 2023

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sara E Ruddy, DDSNPI 1922187582

Title

President

Phone

(248) 547-5115

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Elizabeth Ruddy, D.D.S.

  • Dentist
  • Berkley, MI
  • NPI 1922187582
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1114604717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3083 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723523",
            "telephone_number": "248-547-5115",
            "fax_number": "248-547-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723523",
            "telephone_number": "248-547-5115",
            "fax_number": "248-547-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA E RUDDY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "RUDDY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-547-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Saleski
• Bruce Samarian, M.D.
• Samer G. Shamoon, DDS, PC (Today's Smile Center, P.C.)
• Sanjay Dogra MD PLLC
• Amie Sankareh, NP
• Danielle Marie Saunders, AGPCNP-BC
• Sera Sayegh
• Kristine Schade, CAADC-D
• Christobel Manopriya Schaffer, DPT
• Chris Marie Scheick, LPN

• Dentist in Berkley, MI
• Providers in Berkley, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.