Individual provider Active NPI

Frank P. Ruffino, D.D.S.

  • General Practice Dentistry
  • Shelby Township, MI
National Provider Identifier
1164564787
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901016974 Issued in MI
Practice address
51333 Mound Road
Shelby Township, MI 48316-4441
Phone
(586) 739-1155
Fax
(586) 739-2400
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901016974 MI Primary

Addresses

Primary practice location

51333 Mound Road
Shelby Township, MI 48316-4441

Mailing address

51333 Mound Road
Shelby Township, MI 48316-4441
Phone (586) 739-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026000268 MI Order and Referring Only - DentistPractitioner - Dentist 6709164783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901016974MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ruffino & Whitford Cosmetic & Family Dentistry Current Accepting new patients
Frank P Ruffino III DDS PC General Practice PastSince Dec 1, 2000 Accepting new patients

Locations

51333 Mound Rd
Shelby Township, MI 48316
Phone (586) 739-1155

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1164564787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51333 MOUND ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164441",
            "telephone_number": "586-739-1155",
            "fax_number": "586-739-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51333 MOUND ROAD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164441",
            "telephone_number": "586-739-1155",
            "fax_number": "586-739-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFINO",
        "first_name": "FRANK",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.