Active NPI
Ruoyun Gao
- Dentist
- Stevensville, MD
National Provider Identifier
1144113879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18699
- Practice address
- 352 Thompson Creek Mall
Stevensville, MD 21666-2500 - Phone
- (410) 934-0123
- NPI assigned
- Jun 2, 2025
- Last updated
- Jun 2, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18699 | MD | Primary |
Addresses
Primary practice location
352 Thompson Creek Mall
Stevensville, MD 21666-2500
Mailing address
7815 Blue Stream Dr
Elkridge, MD 21075-8168
Phone (276) 252-6668
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 |
|---|---|---|---|
| 18699 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxe Dental Care LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Stevensville, MD
- NPI 1356726301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1144113879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 BLUE STREAM DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210758168",
"telephone_number": "276-252-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 THOMPSON CREEK MALL",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662500",
"telephone_number": "410-934-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "RUOYUN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-02",
"certification_date": "2025-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.