Erin Elyssa Rubach, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

09512 Issued in IA

Practice address

3435 Spring St Ste 2
Davenport, IA 52807

Phone

(563) 355-7749

Fax

(563) 355-9884

NPI assigned

Jun 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Elyssa Daniels Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• R & R Family Dentistry

  • Dental Clinic/Center
  • Davenport, IA
  • NPI 1558852277
  NPD Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1124401989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 SPRING ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072142",
            "telephone_number": "563-355-7749",
            "fax_number": "563-355-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 SPRING ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52807",
            "telephone_number": "563-355-7749",
            "fax_number": "563-355-9884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 Poyntz Ave",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665024148",
            "country_code": "US",
            "telephone_number": "785-776-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBACH",
        "first_name": "ERIN",
        "middle_name": "ELYSSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61228",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DANIELS",
            "middle_name": "ELYSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Roth, APN
• Madisyn Rowe
• Melissa Rowe, LMHC
• Robert Mark Rowell, DC
• Alan Christopher Rubach, DDS
• Heidi A Rubel, RN
• Kara Kristine Rueschenberg, MD
• Lindsay Ruf
• Mitchell Clark Ruffcorn, MD
• James Matthew Ruggeberg, OTR/L

• Dentist in Davenport, IA
• Providers in Davenport, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.